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 36818 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Surgery Connect Blood Vessels, Surgery To Connect Two Blood Vessels Usually An Artery And Vein. The Resulting Enlarged Vessel Is Called A Fistula. The Procedure Often Is Done To Prepare For Years Of Expected Dialysis Treatments.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36818 |
| Medicaid Fee Schedule | View Medicaid rates for 36818 |
National average reimbursement for CPT 36818 by major payers:
$916.78
$960.08
$989.02
$1,115.43
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36818.
CPT 36818
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$16,238.29Published rateSurgcenter Camelback LLC
$6,365.00Published rateUniversity Of Miami, Umiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - Asc)
University Of Miami
$3,820.00Published rateSurgical Center Of Ponte Vedra Beach LLC, Ponte Vedra Beach Surgery Center
Surgical Center Of Ponte Vedra B
$2,000.00Published rateBattle Creek Endoscopy & Surgery LLC
Battle Creek Endoscopy & Surgery Center PLLC
$1,040.00Published 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 36818 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36818 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 36818 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 |
|---|---|---|
| 36800-CPT | Low | Insertion Of Cannula For Hemod, Insertion Of Cannula For Hemodialysis Other Purpose(Separate Procedure) Vein To Vein Insertion Ofcannula For Hemodialysis Other Purpose |
| 36810-CPT | Moderate | Insertion Of Cannula For Hemod, Insertion Of Cannula For Hemodialysis Other Purpose(Separate Procedure) Arteriovenous External (Scribner Type) |
| 36815-CPT | Low | Insertion Of Cannula For Hemod, Insertion Of Cannula For Hemodialysis Other Purpose(Separate Procedure) Arteriovenous External Revision Or Closure |
| 36818-CPT | Moderate | Surgery Connect Blood Vessels, Surgery To Connect Two Blood Vessels Usually An Artery And Vein. The Resulting Enlarged Vessel Is Called A Fistula. The Procedure Often Is Done To Prepare For Years Of Expected Dialysis Treatments. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36818. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36818 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 36818) and we'll show you how you compare in 15 minutes or less.