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 35515 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.
Bypass Gft,W/Vein;Subclav-Vertebral
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Complexity Level | High |
| Medicare Fee Schedule | $1,211.12 national non-facility rate (2026) · View Medicare rates for 35515 |
| Medicaid Fee Schedule | $989.99 median of the 8 states in the free preview · View Medicaid rates for 35515 |
National average reimbursement for CPT 35515 by major payers:
$1,860.62
$1,852.71
$1,934.03
$2,160.27
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 35515.
CPT 35515
5 of 25 sample ratesHigher to lower in this preview
Pearland Surgery Center, LLC
$5,554.00Published ratePhysician'S Surgery Center Of Knoxville LLC
Physicians Surgery Center Of Knoxville LLC
$936.00Published rateOrthopaedic Institute For Children Ambulatory Surgery Center, LLC
Orthopaedic Institute For Children Ambulatory Surgery Center LLC
$600.00Published rateGeorgia Surgical Centers Inc
$400.00Published rateSwan Surgery Center, LLC
Swan Surgery Center LLC
$100.00Published 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 35515 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35515 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 35515 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 35515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35515 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 35515) and we'll show you how you compare in 15 minutes or less.