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 moderate-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 | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $244.50 national non-facility rate (2026) · View Medicare rates for 36005 |
| Medicaid Fee Schedule | $196.355 median of the 8 states in the free preview · View Medicaid rates for 36005 |
National average reimbursement for CPT 36005 by major payers:

$333.86

$417.51

$440.87

$113.22
Choose a payer to see a sample of rates for CPT 36005.
Farah Daccueil
Stony Brook Internists P C
Peconic Cardiology, PC
Peconic Cardiology PC
Gregg Bean
South Texas Radiology Group, P.A.
Camilla Grant
Town Center Orthopaedic Associates, P.C.
Chad Muntzinger
Town Center Orthopaedic Associates, P.C.
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 36005 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36005 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 36005 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 |
|---|---|---|
| 36000-CPT | Low | Intro Needle/Cath Vein Unilat |
| 36005-CPT | Moderate | Injection Procedure For Extrem, Injection Procedure For Extremity Venography (Including Introduction Of Needle Or Intracatheter) |
| 36221-CPT | High | Place Cath Thoracic Aorta, Non Selective Catheter Placement Thoracic Aorta With Angiography Of The Extracranial Carotid Vertebral And Or Intracranial Vessels Unilateral Or Bilateral And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Cervicocerebral Arch When Performed |
| 36223-CPT | High | Place Cath Carotid Inom Art, Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Intracranial Carotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Extracranial Carotid And Cervicocerebral Arch When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36005 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 36005) and we'll show you how you compare in 15 minutes or less.