Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 36558 Fee Schedule
Medicare rates as of October 2026
CPT 36558 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
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.
| 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 | Moderate |
| Medicare Fee Schedule | $787.59 national non-facility rate (2026) · View Medicare rates for 36558 |
| Medicaid Fee Schedule | $632.49 median of the 8 states in the free preview · View Medicaid rates for 36558 |
National average reimbursement for CPT 36558 by major payers:
$970.25
BCBS / Anthem
$1,095.79
UnitedHealthcare
$1,237.53
Aetna
$494.60
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36558.
CPT 36558
5 of 25 sample ratesHigher to lower in this preview
Sherman Endoscopy Center, LLC
Sherman Endoscopy Center LLC
$4,600.00Published rateMedstar Surgery Center At Timonium, LLC
Medstar Surgery Center At Timo
$2,974.00Published rateWatson Clinic Asc, LLC
$2,035.00Published rateMethodist Surgery Center Germantown Lp
$1,461.00Published ratePlymouth Laser Center, P.C., Plymouth Laser & Surgical Center
Plymouth Laser Center PC
$530.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 36558 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36558. 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 36558. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36558 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 36558) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are five-digit numerical codes used by medical professionals to report medical, surgical, and diagnostic services to entities such as physicians, health insurance companies, and accreditation organizations. They standardize the description of medical procedures and services.
Finding the exact cost of a medical procedure can be complex due to varying factors like your insurance plan, location, and provider. For a personalized estimate, you can contact your healthcare provider's billing department or your insurance company. For a general lookup of fee schedules by CPT code and specific location, you can use tools like Payerprice.
Several factors affect healthcare costs, including the type of service, the complexity of the procedure, the facility where it's performed (e.g., hospital vs. outpatient clinic), geographical location, the provider's reputation, and your specific insurance plan and its negotiated rates. The CPT code identifies the service, but the price attached to it varies significantly.
Yes, comparing prices can help you make informed decisions. Many insurance companies offer tools to estimate costs, and some states have price transparency initiatives. For a direct comparison of fee schedules for specific CPT codes across different providers or locations, you can utilize resources like Payerprice, which provides lookup tools for this purpose.
A fee schedule is a comprehensive list of fees used by health plans to pay physicians or other providers. It specifies the maximum dollar amount that a plan will pay for specific services, often tied to CPT codes. Understanding a fee schedule helps you anticipate the cost of a service before it is rendered.
To look up specific CPT codes and their associated prices based on your location, you should use specialized tools designed for this purpose. Payerprice offers a fee schedule lookup tool where users can search with a CPT code and specific location to get relevant pricing information. This can help you understand potential costs for medical procedures and services in your area.