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 35903 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Excision Of Infected Graft; Extremity
| 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 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $518.05 national non-facility rate (2026) · View Medicare rates for 35903 |
| Medicaid Fee Schedule | $414.065 median of the 8 states in the free preview · View Medicaid rates for 35903 |
National average reimbursement for CPT 35903 by major payers:
$760.12
$798.64
$851.93
$922.21
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 35903.
CPT 35903
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Alliance, LLC, Texas Health Surgery Center Alliance
$6,342.00Published rateMillennium Surgery Center Inc
$3,156.00Published ratePort Jefferson Asc, LLC
Port Jefferson Asc LLC
$2,287.00Published rateLewes De Endoscopy Asc LLC, Seaside Endoscopy Pavilion
Lewes De Endoscopy Asc LLC
$1,399.00Published rateGdc Endoscopy Center LLC
$550.00Published 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 35903 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35903 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 35903 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 |
|---|---|---|
| 35695-CPT | High | Surgery To Move Blood Vessel, Surgery To Move A Blood Vessel To Another Position In The Neck Upper Back Or Chest. The Procedure Is Done To Compensate For An Injury That Affects How Well Blood Flows. |
| 35697-CPT | Low | Reimplantation Visceral Arter, Reimplantation Visceral Artery To Infrarenal Aortic Prosthesis Each Artery (List Separately Inaddition To Code For Primary Procedure) |
| 35875-CPT | Moderate | Blood Clot Removal, Surgery To Remove A Blood Clot That Has Developed At Or Near The Site Of A Blood Vessel Graft. The Procedure Involves Repair Of The Graft Possibly Including Replacing It. |
| 35903-CPT | Moderate | Excision Of Infected Graft; Extremity |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35903. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35903 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 35903) and we'll show you how you compare in 15 minutes or less.