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See a sample rate comparisonCPT 36011 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.
Catheter Insertion Large Vein, Insertion Of A Thin Tube (Catheter) Into A Major Branch Vein. The Catheter May Be Guided Through A Blood Vessel To The Treatment Site.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $781.92 national non-facility rate (2026) · View Medicare rates for 36011 |
| Medicaid Fee Schedule | $627.58 median of the 8 states in the free preview · View Medicaid rates for 36011 |
National average reimbursement for CPT 36011 by major payers:
$953.32
$1,168.99
$1,271.06
$331.53
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CPT 36011
5 of 25 sample ratesHigher to lower in this preview
Mathew Tharakan
Stony Brook Internists P C
$2,971.12Published rateRobyn Borsuk
$1,395.16Published rateDanielle Eganhouse
Town Center Orthopaedic Associates, P.C.
$1,134.82Published rateStephen Perrone
Stephen C. Perrone, M.D., P.C.
$811.08Published rateJulia Loza-Vega
Town Center Orthopaedic Associates, P.C.
$214.77Published rate
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See a sample payer proposalCPT 36011 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36011 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 36011 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 |
|---|---|---|
| 36011-CPT | Moderate | Catheter Insertion Large Vein, Insertion Of A Thin Tube (Catheter) Into A Major Branch Vein. The Catheter May Be Guided Through A Blood Vessel To The Treatment Site. |
| 36012-CPT | Moderate | Insert Catheter Into Vein, Insertion Of A Thin Tube (Catheter) Into A Small Branch Vein. The Catheter May Be Guided Through A Blood Vessel To The Treatment Site. |
| 36013-CPT | Moderate | Insert Catheter Into Heart, Insertion Of Needle Or Thin Tube (Catheter) Into The Right Side Of The Heart Or Its Primary Blood Vessel (Pulmonary Artery). |
| 36014-CPT | Moderate | Select Cath Plcmt Lt/Rt Pulmny Art |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36011. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36011 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.
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