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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $516.04 national non-facility rate (2026) · View Medicare rates for 36100 |
| Medicaid Fee Schedule | $411.43 median of the 8 states in the free preview · View Medicaid rates for 36100 |
National average reimbursement for CPT 36100 by major payers:

$614.96

$693.80

$767.59

$288.22
Choose a payer to see a sample of rates for CPT 36100.
Centennial Asc, LLC, Baylor Surgicare At Centennial
Centennial Asc LLC
Novamed Surgery Center Of Denver LLC, Cherry Hills Surgery Center
Novamed Surgery Center Of Denver LLC
Pain Care Center Boise, LLC, Pain Care Boise
Pain Care Center Boise, L.L.C.
Cypress Ambulatory Surgery Center, LLC, Currency Circle Surgery Center
The Asc At Waugh Chapel
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 36100 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36100 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 36100 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 |
|---|---|---|
| 36100-CPT | Moderate | Intro Of Needle Or Intracatheter Carotid Or Vertebra Arter, Introduction Of Needle Or Intracatheter Carotid Or Vertebral Artery |
| 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 |
| 36222-CPT | High | Place Cath Carotid Inom Art, Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Extracranial Carotid Circulation 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 36100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36100 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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