Rate Benchmarking
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See a sample rate comparisonCPT 36557 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,262.22 national non-facility rate (2026) · View Medicare rates for 36557 |
| Medicaid Fee Schedule | $977.135 median of the 8 states in the free preview · View Medicaid rates for 36557 |
National average reimbursement for CPT 36557 by major payers:

$1,238.79
BCBS / Anthem

$1,371.07
UnitedHealthcare

$1,627.97
Aetna

$595.70
Cigna
Choose a payer to see a sample of rates for CPT 36557.
Mclean Ambulatory Surgery, LLC
Mclean Ambulatory Surgery LLC
Mid Cities Asc, Lp
Surgery Center Of Lebanon, Lp, Physicians Surgical Center
Surgery Center Of Lebanon Lp
Arkansas Outpatient Eye Surgery LLC, Mcdonald Eye Associates Surgery And Lasik Center
Arkansas Outpatient Eye Surgery LLC
Ft Myers Digestive Health And Pain Asc LLC, Center For Digestive Health And Pain Management
Ft Myers Digestive Health And Pain Asc LLC
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 36557 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36557. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 36555-CPT | Moderate | Catheter Insertion Into Vein, Surgical Placement Of A Thin Tube (Catheter) Into A Large Vein Near The Heart. This Is For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36556-CPT | Moderate | Catheter Insertion Into Vein, Surgical Placement Of A Thin Tube (Catheter) Into A Large Vein Near The Heart. This Is For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36557-CPT | High | Catheter Insertion Into Vein, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. This Allows Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36558-CPT | Moderate | Catheter Insertion Into Vein, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. This Allows Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36557. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36557 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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