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 comparisonHealthcare 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.
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,301.97 national non-facility rate (2026) · View Medicare rates for 35583 |
| Medicaid Fee Schedule | $1,049.49 median of the 8 states in the free preview · View Medicaid rates for 35583 |
National average reimbursement for CPT 35583 by major payers:

$2,046.06

$2,006.74

$2,068.15

$2,296.19
Choose a payer to see a sample of rates for CPT 35583.
Georgia Eye Surgicenter, LLC, Georgia Eye Institute Surgery Center
Fourth Corner Neurosurgical Associates Inc Ps, Cascade Outpatient Spine Center
Fourth Corner Neurosurgical Associates, Inc.
Orthoatlanta Surgery Center Of Fayetteville, LLC
Orthoatlanta Surgery Center Of Fayetteville LLC
Pueblo Co Ophthalmology Asc LLC, Rocky Mountain Laser & Surgery Center
Eye Surgery Center Of North Alabama, Inc.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 35583 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35583 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 35583 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 35583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35583 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.
Bring your top codes (like CPT 35583) and we'll show you how you compare in 15 minutes or less.