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See a sample rate comparisonCPT 36475 Fee Schedule
Medicare rates as of October 2026
CPT 36475 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
Endovenous Ablation Therapy Of, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Radiofrequency First Vein Treated
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,056.14 national non-facility rate (2026) · View Medicare rates for 36475 |
| Medicaid Fee Schedule | $844.165 median of the 8 states in the free preview · View Medicaid rates for 36475 |
National average reimbursement for CPT 36475 by major payers:
$1,472.52
BCBS / Anthem
$2,097.38
UnitedHealthcare
$1,928.76
Aetna
$773.58
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36475.
CPT 36475
5 of 25 sample ratesHigher to lower in this preview
Gina Choi
$9,480.08Published rateIrene Sonu
$5,946.24Published rateSepideh Babaei
$2,295.52Published rateMark Diiulio
Bradford Radiology PC
$1,329.39Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$640.42Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 36475 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36475. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 36471-CPT | Moderate | Varicose Vein Treatment, Procedure To Inject Medication Into One Or More Veins Usually In The Legs Or Ankles To Treat Varicose Veins Or Spider Veins. The Medication Causes The Vein To Collapse Or Close Off So Blood Is Directed To A Healthier Vein. |
| 36473-CPT | High | Endovenous Mchnchem 1st Vein, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Mechanochemical First Vein Treated |
| 36474-CPT | Moderate | Endovenous Mchnchem Add On, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Mechanochemical Subsequent Vein S Treated In A Single Extremity Each Through Separate Access Sites List Separately In Addition To Code For Primary Procedure |
| 36475-CPT | High | Endovenous Ablation Therapy Of, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Radiofrequency First Vein Treated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36475. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36475 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 out the cost of a specific medical procedure, it's best to contact your healthcare provider directly and your insurance company. For a more transparent view of potential costs based on CPT codes and your specific location, you can utilize tools like Payerprice. They offer a fee schedule lookup tool that allows you to search with a CPT code and location to get an estimate tailored to your situation.
The coverage for a medical service depends entirely on your specific insurance plan. You should contact your insurance provider directly by calling the member services number on your insurance card. They can inform you about your benefits, deductibles, co-pays, and any prior authorization requirements for the service you are considering.
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, hospitals, and other healthcare providers to describe the services and procedures they provide to patients. They are crucial for accurate billing and for your insurance company to process claims correctly. When seeking cost information or using a lookup tool like Payerprice, having the CPT code can help you get more precise estimates for specific services.
Fee schedules for medical services can vary significantly by provider, location, and insurance plan. For specific information relevant to your situation, you can use specialized tools. Payerprice offers a fee schedule lookup tool where you can input a CPT code and your specific location to find relevant pricing information, helping you understand potential costs.
If you don't have health insurance, you may be responsible for the full cost of medical services. It's important to discuss pricing options with your healthcare provider beforehand, as many offer discounted rates for self-pay patients or payment plans. You can also use tools like Payerprice to research potential costs for procedures based on CPT codes and your location, which can help you negotiate or plan financially. Additionally, explore options for obtaining health insurance through the Affordable Care Act (ACA) marketplace or state programs.