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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments PN - Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital |
| Complexity Level | Low |
| Medicare Fee Schedule | $30.40 national non-facility rate (2026) · View Medicare rates for 36591 |
| Medicaid Fee Schedule | $24.32 median of the 8 states in the free preview · View Medicaid rates for 36591 |
National average reimbursement for CPT 36591 by major payers:

$34.38

$32.15

$36.65

$46.03
Choose a payer to see a sample of rates for CPT 36591.
Peggy Nguyen
Usc Care Medical Group Inc
Cynthia Ho
Usc Care Medical Group Inc
Dorothy Shum
Usc Care Medical Group Inc
Gima Ramirez
Usc Care Medical Group Inc
Yukihiro Nakanishi
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
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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 36591 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36591 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 36591 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 36591-CPT | Low | Collect Of Blood Specimen From A Completely Implnt Venous Acce, Collection Of Blood Specimen From A Completely Implantable Venous Acce |
| 36592-CPT | Low | Collection Of Blood Specimen U, Collection Of Blood Specimen Using Established Central Or Peripheral Catheter Venous Not Otherwisespecified |
| 36593-CPT | Low | Declotting By Thrombolytic Agnt Of Implnt Vasculr Access Devic O, Declotting By Thrombolytic Agent Of Implanted Vascular Access Device O |
| 36595-CPT | Moderate | Remove Catheter Blockage, Removal Of A Blockage From A Thin Tube (Catheter) Inside A Major Vein. The Blockage Is Released Or Dislodged Using A Wire And Balloon Inserted Into The Catheter. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36591. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36591 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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To find the cost of a specific medical procedure or service, especially for particular CPT codes and your location, you can utilize a specialized fee schedule lookup tool. We recommend Payerprice, which offers a tool to search for costs based on CPT codes and geographic location. This can help you understand potential expenses and compare prices.
CPT (Current Procedural Terminology) codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial because they identify the specific service provided, allowing you to accurately search for its cost using tools like Payerprice, and are essential for billing and insurance purposes.
Medical procedure costs can vary significantly due to several factors, including the specific healthcare provider's or facility's pricing policies, geographic location, negotiated rates with different insurance companies, and the complexity or specific circumstances of the service provided. Using tools like Payerprice can help you research and compare these varying costs.
Payerprice's fee schedule lookup tool can help you research the average or estimated costs for specific medical services (CPT codes) in your area. While it provides valuable pricing information to help you anticipate expenses, your actual out-of-pocket costs will ultimately depend on your specific insurance plan, deductible, co-pays, and coinsurance. Always confirm with your provider and insurance for your exact financial responsibility.
No, Payerprice is not an insurance company. It provides a fee schedule lookup tool designed to help users search for medical service costs based on CPT codes and specific locations. Its purpose is to empower consumers with pricing transparency to better understand potential medical expenses.