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 36227 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.
Place Cath Xtrnl Carotid, Selective Catheter Placement External Carotid Artery Unilateral With Angiography Of The Ipsilateral External Carotid Circulation And All Associated Radiological Supervision And Interpretation List Separately In Addition To Code For Primary Procedure
| 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 | 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $273.55 national non-facility rate (2026) · View Medicare rates for 36227 |
| Medicaid Fee Schedule | $208.24 median of the 8 states in the free preview · View Medicaid rates for 36227 |
National average reimbursement for CPT 36227 by major payers:
$301.22
$347.07
$371.97
$209.61
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36227.
CPT 36227
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$1,860.00Published rateColumbia Eye And Specialty Surgery Center Ltd
$541.00Published rateAshland Surgery Center
Ashland Surgery Center Inc
$175.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$126.00Published ratePonte Vedra Beach Surgery Center LLC
Surgical Center Of Ponte Vedra B
$50.00Published 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 36227 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36227 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 36227 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 |
|---|---|---|
| 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 |
| 36224-CPT | High | Place Cath Carotd Art, Selective Catheter Placement Internal Carotid Artery Unilateral 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 |
| 36227-CPT | Moderate | Place Cath Xtrnl Carotid, Selective Catheter Placement External Carotid Artery Unilateral With Angiography Of The Ipsilateral External Carotid Circulation And All Associated Radiological Supervision And Interpretation List Separately In Addition To Code For Primary Procedure |
| 36228-CPT | High | Place Cath Intracranial Art, Selective Catheter Placement Each Intracranial Branch Of The Internal Carotid Or Vertebral Arteries Unilateral With Angiography Of The Selected Vessel Circulation And All Associated Radiological Supervision And Interpretation Eg Middle Cerebral Artery Posterior Inferior Cerebellar Artery List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36227 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 36227) and we'll show you how you compare in 15 minutes or less.