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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 | 11 - Office 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,064.15 national non-facility rate (2026) · View Medicare rates for 36215 |
| Medicaid Fee Schedule | $855.13 median of the 8 states in the free preview · View Medicaid rates for 36215 |
National average reimbursement for CPT 36215 by major payers:

$1,161.17

$1,447.28

$1,604.62

$1,589.65
Choose a payer to see a sample of rates for CPT 36215.
Christopher Raio
Samaritan Emergency Medical Services PC
Christopher Raio
St Francis Hospital
George Kartalian, Jr.
Town Center Orthopaedic Associates, P.C.
Guadalupe Macias
New York City Health And Hospitals Corporation
Jessica Ortega
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 36215 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36215 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 36215 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 |
|---|---|---|
| 36215-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To A Large Chest Artery And Then To Its Branches. Dye May Be Injected For X-Ray Examination. |
| 36216-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To A Large Chest Artery And Then To Its Branches. Dye May Be Injected For X-Ray Examination. |
| 36217-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To A Large Chest Artery And Then To Its Branches. Dye May Be Injected For X-Ray Examination. |
| 36218-CPT | Moderate | Place Catheter In Artery, Selective Catheter Placement Arterial System Additional Second Order Third Order And Beyond Thoracic Or Brachiocephalic Branch Within A Vascular Family List In Addition To Code For Initial Second Or Third Order Vessel As Appropriate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36215 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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