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See a sample rate comparisonCPT 36478 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
| 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 | $980.32 national non-facility rate (2026) · View Medicare rates for 36478 |
| Medicaid Fee Schedule | $764.855 median of the 8 states in the free preview · View Medicaid rates for 36478 |
National average reimbursement for CPT 36478 by major payers:

$1,331.89
BCBS / Anthem

$1,712.13
UnitedHealthcare

$1,685.67
Aetna

$752.14
Cigna
Choose a payer to see a sample of rates for CPT 36478.
Princess Anne Ambulatory Surgery Management LLC, Princess Anne Ambulatory Surgery Center
Princess Anne Ambulatory Surgery Management, LLC
Surgery Center Of Silverdale LLC
Surgery Center Of Silverdale L
San Diego Skin, Inc.
San Diego Skin, Inc M Mark Mofid Md Apc
Amy Sullivan
Deaconess Hospital Inc
Endoscopy Center Of Northeast Tennessee, PC
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 36478 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36478. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 36478-CPT | High | Endovenous Laser 1st Vein, Endovenous Ablation Therapy Of Incompetent Vein Extremity Inclusive Of All Imaging Guidance And Monitoring Percutaneous Laser 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 36478. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36478 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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