Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 35246 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.
Rpair Blood Vessel W/ Vein Grft; Intrathoracic W/O Bypass, Repair Blood Vessel With Vein Graft; Intrathoracic Without Bypass
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,484.00 national non-facility rate (2026) · View Medicare rates for 35246 |
| Medicaid Fee Schedule | $1,215.20 median of the 8 states in the free preview · View Medicaid rates for 35246 |
National average reimbursement for CPT 35246 by major payers:
$2,164.50
$2,156.18
$2,251.85
$2,497.21
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 35246.
CPT 35246
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Of Plano, Lp, Gastrointestinal Endoscopy Center Of Plano
Endoscopy Of Plano Lp
$2,652.00Published rateGold Coast Surgery Center LLC, Gulf Comprehensive Surgery Center
Gold Coast Surgery Center LLC
$1,049.00Published rateSpecialty Surgery Center, LLC
Specialty Surgery Center LLC
$687.00Published rateFianna Hills Surgery Center Inc
$487.00Published rateTexas Regional Eye Center Asc LLC, Texas Regional Eye Center Asc LLC
Texas Regional Eye Center Asc LLC
$108.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 35246 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35246 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 35246 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.
| Code | Complexity | Description |
|---|---|---|
| 35241-CPT | High | Rpair Blood Vessel W/ Vein Grft; Intrathoracic W/ Bypass, Repair Blood Vessel With Vein Graft; Intrathoracic With Bypass |
| 35246-CPT | High | Rpair Blood Vessel W/ Vein Grft; Intrathoracic W/O Bypass, Repair Blood Vessel With Vein Graft; Intrathoracic Without Bypass |
| 35251-CPT | High | Repair Blood Ves.W Graft; Intra-Abdomina |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35246 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 35246) and we'll show you how you compare in 15 minutes or less.