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See a sample rate comparisonCPT 35207 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Rep Vessel Hand Finger
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | LT - Left side of body F1 - Left hand, second digit |
| Complexity Level | High |
| Medicare Fee Schedule | $683.38 national non-facility rate (2026) · View Medicare rates for 35207 |
| Medicaid Fee Schedule | $560.845 median of the 8 states in the free preview · View Medicaid rates for 35207 |
National average reimbursement for CPT 35207 by major payers:
$1,070.05
$1,025.78
$1,114.12
$1,263.53
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CPT 35207
5 of 25 sample ratesHigher to lower in this preview
Denton Surgery Center LLC, Texas Health Surgery Center Denton
Denton Surgery Center, LLC Dba Texas Health Surgery Center Denton
$6,342.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$3,188.00Published rateGrove Place Surgery Center ,LLC
Grove Place Surgery Center, LLC
$2,280.00Published rateSurgery Center Of Conway Inc
Surgery Center Of Conway, Inc.
$1,316.00Published rateSurgery Center At Gateway LLC
$640.00Published rate
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See a sample payer proposalCPT 35207 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35207 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 35207 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35207. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35207 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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