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 35558 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;Femoral-Femoral
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,103.23 national non-facility rate (2026) · View Medicare rates for 35558 |
| Medicaid Fee Schedule | $855.655 median of the 8 states in the free preview · View Medicaid rates for 35558 |
National average reimbursement for CPT 35558 by major payers:
$1,573.26
$1,720.67
$1,794.51
$1,968.49
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 35558.
CPT 35558
5 of 25 sample ratesHigher to lower in this preview
Elko Community Health Center, LLC
Elko Community Health Center LLC
$7,437.00Published rateSummit Ambulatory Surgical Center, LLC
$1,064.00Published rateGeorgia Cataract And Eye Specialty Center LLC, Georgia Cataract And Eye Specialty Center
Georgia Cataract And Eye Specialty Center LLC
$730.00Published rateMercy Ambulatory Surgery Center Ltd
$530.00Published rateNational Cardiovascular Surgery Center, LLC, Peak Surgery Center Of Avondale
National Cardiovascular Surgery Center LLC
$175.00Published 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 35558 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35558 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 35558 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 |
|---|---|---|
| 35556-CPT | High | Bypass Graft W Vein; Femoral-Popliteal |
| 35558-CPT | High | Bypass Gft,W/Vein;Femoral-Femoral |
| 35583-CPT | High | Artery Bypass Using Vein Graft, Surgery To Bypass (Re-Route) Blood Flow Around A Blocked Artery In The Leg Using Leg Veins (Graft) To Replace The Damaged Artery. |
| 35585-CPT | High | Vein Byp Fem-Tibial Peroneal, Bypass Of Diseased Or Blocked Artery By Insertion Of Vein Graft From Artery Of Thigh To Artery Of Lower Leg (Femoral-Anterior Tibial Posterior Tibial Or Peroneal Artery Bypass) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35558. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35558 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 35558) and we'll show you how you compare in 15 minutes or less.