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See a sample rate comparisonCPT 36573 Fee Schedule
Medicare rates as of October 2026
CPT 36573 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Age 5 Years Or Older
| 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 | $365.74 national non-facility rate (2026) · View Medicare rates for 36573 |
| Medicaid Fee Schedule | $288.655 median of the 8 states in the free preview · View Medicaid rates for 36573 |
National average reimbursement for CPT 36573 by major payers:
$424.43
BCBS / Anthem
$539.39
UnitedHealthcare
$571.97
Aetna
$178.30
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36573.
CPT 36573
5 of 25 sample ratesHigher to lower in this preview
Childrens National Medical Center
Childrens Hospital
$4,190.00Published rateShunichi Homma
Columbia University In The City Of New York
$1,352.89Published rateKamal Abulebda
Deaconess Hospital Inc
$688.94Published rateLaura Continetti
Town Center Orthopaedic Associates, P.C.
$519.33Published rateChristopher Raio
St Francis Hospital
$198.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 36573 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36573. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 36568-CPT | Moderate | Insert Catheter In Large Vein, Insertion Through The Skin 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. |
| 36569-CPT | Moderate | Insert Catheter In Large Vein, Insertion Through The Skin 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. |
| 36572-CPT | Moderate | Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Younger Than 5 Years Of Age |
| 36573-CPT | Moderate | Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Age 5 Years Or Older |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36573. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36573 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, you can start by contacting your insurance provider to understand your coverage, deductible, co-pays, and out-of-pocket maximums. You can also ask your healthcare provider for an estimate. For a more detailed lookup of potential costs based on CPT codes and your specific location, you can utilize tools like Payerprice, which offers a fee schedule lookup tool.
CPT stands for Current Procedural Terminology. CPT codes are a standardized set of medical codes used by healthcare professionals to describe medical, surgical, and diagnostic services performed on patients. They are critical for billing purposes, ensuring accurate communication between providers and insurance companies regarding the services rendered, and for determining appropriate reimbursement.
An in-network provider has a contract with your health insurance plan, agreeing to provide services at pre-negotiated rates. This generally results in lower out-of-pocket costs for you. An out-of-network provider does not have a contract with your insurance plan, meaning you might pay a higher percentage of the cost, or even the full cost, until your deductible is met, and your plan may cover a smaller portion or none at all.
If you receive an unexpected or unusually high medical bill, first review it carefully for any errors. Compare it against your Explanation of Benefits (EOB) from your insurance company. Contact your healthcare provider's billing department for clarification and inquire about an itemized bill. You can also reach out to your insurance company to understand what was covered and why. If you believe the bill is incorrect, you have the right to appeal it with both your provider and your insurer.
For information on typical fee schedules for medical procedures, especially tailored to specific CPT codes and your location, you should use a specialized lookup tool. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific geographical locations to get detailed pricing information.