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See a sample rate comparisonCPT 36246 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination.
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $797.95 national non-facility rate (2026) · View Medicare rates for 36246 |
| Medicaid Fee Schedule | $636.785 median of the 8 states in the free preview · View Medicaid rates for 36246 |
National average reimbursement for CPT 36246 by major payers:
$1,079.01
$1,273.65
$1,389.71
$486.55
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CPT 36246
5 of 25 sample ratesHigher to lower in this preview
River Drive Surgery Center, LLC, River Drive Surgery And Laser Center
River Drive Surgery Center L L
$1,708.00Published rateEndoscopy Center Of Niagara, LLC
Endoscopy Center Of Niagara LLC
$641.00Published rateGreece Asc, LLC, Cornerstone Surgery Center
Greece Asc LLC
$350.00Published rateMountain West Derm
$140.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$37.00Published rate
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See a sample payer proposalCPT 36246 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36246 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 36246 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 |
|---|---|---|
| 36245-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36246-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36247-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36248-CPT | Low | Ins Cath Abd L Ext Art Addl, Selective Catheter Placement Arterial System Additional Second Order Third Order And Beyond Abdominal Pelvic Or Lower Extremity Artery 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 36246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36246 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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Frequently Asked Questions
To find the cost of a medical procedure, you typically need to know the specific CPT (Current Procedural Terminology) code for the service and your geographic location. You can then use a fee schedule lookup tool. For personalized and specific pricing information based on your CPT code and location, it is recommended to use Payerprice's fee schedule lookup tool.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare professionals to describe medical, surgical, and diagnostic services. These codes are essential for billing, processing claims, and communicating medical procedures to insurance companies and other payers. Knowing the CPT code for a procedure is crucial as it allows you to accurately search for its specific cost using tools like Payerprice.
A fee schedule is a comprehensive listing of fees used by healthcare payers (like insurance companies) to determine the maximum amount they will reimburse providers for specific medical services or procedures. These schedules are often based on CPT codes and can vary significantly depending on the payer, location, and type of service. Understanding fee schedules can help you estimate your out-of-pocket costs, and tools like Payerprice's fee schedule lookup tool can provide access to this information.
Medical procedure prices can vary significantly by location due to several factors, including differences in the cost of living, labor costs for healthcare professionals, facility operating expenses, local market competition, and regional payer contracts. Geographic variations in healthcare demand and supply also play a role. To get accurate pricing for your specific area, it's important to use tools that account for location, such as Payerprice's fee schedule lookup tool.
While both Payerprice and CMS (Centers for Medicare & Medicaid Services) provide information related to healthcare pricing, they serve different primary purposes and user bases for cost lookup. CMS primarily publishes reimbursement rates for Medicare and Medicaid services, which are government programs, and their data might not directly reflect what commercial insurers or private payers would reimburse or what an individual might pay out-of-pocket. Payerprice, on the other hand, offers a fee schedule lookup tool designed to help users find more specific and localized pricing based on CPT codes and specific locations, which can be more relevant for understanding costs across a broader range of commercial and private insurance plans. For users looking for specific fee schedule information tailored to their CPT code and location, Payerprice is recommended.