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See a sample rate comparisonCPT 36415 Fee Schedule
Medicare rates as of January 2026
CPT 36415 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
Routine Venipuncture Or Finge, Routine Venipuncture Or Fingerheelear Stick Forcollection Of Specimen(S) Routine Venipuncture Or Fingerheelear Stick For
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.34 national lab fee schedule rate (2026) · View Medicare rates for 36415 |
| Medicaid Fee Schedule | $8.975 median of the 8 states in the free preview · View Medicaid rates for 36415 |
National average reimbursement for CPT 36415 by major payers:
$5.77
BCBS / Anthem
$2.91
UnitedHealthcare
$5.78
Aetna
$4.11
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36415.
CPT 36415
5 of 25 sample ratesHigher to lower in this preview
Bernard Park
$11.43Published rateKieu Tonnu
City Of Hope Medical Foundation
$10.14Published rateNeil Shah
$9.42Published rateJill Jepson
City Of Hope Medical Foundation
$8.71Published rateIrene Salek-Raham
State Of Ny Unified Court System
$1.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 36415 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36415. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 36400-CPT | Low | Bl Draw 3 Yrs Fem Jugular, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture Femoral Or Jugular Vein |
| 36405-CPT | Low | Vnpnxr<3yrs Phy/Qhp Scalp Vn, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture; Scalp Vein |
| 36406-CPT | Low | Vnpnxr<3yrs Phy/Qhp Other Vn, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture; Other Vein |
| 36415-CPT | Low | Routine Venipuncture Or Finge, Routine Venipuncture Or Fingerheelear Stick Forcollection Of Specimen(S) Routine Venipuncture Or Fingerheelear Stick For |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36415 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
CPT 36415 is used for Routine Venipuncture/Finger/Heel/Ear Stick, Collection, Specimen(S). It serves to document and receive reimbursement for visits involving moderate-level medical decision-making.
Fee schedules for CPT 36415 are influenced by several factors, including Medicare & Medicaid Rates (which are government-set), Private Insurance Rates (which are negotiated), Geographic Location (as costs may be higher in urban areas), and Provider Type (e.g., hospital vs. private practice). For specific fee schedule information based on CPT code and location, it's recommended to use a tool like Payerprice's fee schedule lookup.