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 36909 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Dialysis Circuit Embolj, Dialysis Circuit Permanent Vascular Embolization Or Occlusion Including Main Circuit Or Any Accessory Veins Endovascular Including All Imaging And Radiological Supervision And Interpretation Necessary To Complete The Intervention List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36909 |
| Medicaid Fee Schedule | View Medicaid rates for 36909 |
National average reimbursement for CPT 36909 by major payers:
$2,148.00
$2,673.59
$2,767.38
$482.87
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36909.
CPT 36909
5 of 25 sample ratesHigher to lower in this preview
Eagle Highlands Surgery Center LLC, Eagle Highlands Surgery Center
$4,613.00Published rateChildren'S Ambulatory Surgery Center Of New Jersey, LLC
Childrens Ambulatory Surgery Center Of New Jersey LLC
$883.00Published rateFoothills Surgery Center, LLC
$506.00Published rateDel Mar Surgery Center
$200.00Published rateMedical Eye Associates, Inc.
$110.00Published 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 36909 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36909 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 36909 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 |
|---|---|---|
| 36904-CPT | High | Thrmbc Nfs Dialysis Circuit, Percutaneous Transluminal Mechanical Thrombectomy And Or Infusion For Thrombolysis Dialysis Circuit Any Method Including All Imaging And Radiological Supervision And Interpretation Diagnostic Angiography Fluoroscopic Guidance Catheter Placement S And Intraprocedural Pharmacological Thrombolytic Injection S |
| 36907-CPT | Moderate | Balo Angiop Ctr Dialysis Seg, Transluminal Balloon Angioplasty Central Dialysis Segment Performed Through Dialysis Circuit Including All Imaging And Radiological Supervision And Interpretation Required To Perform The Angioplasty List Separately In Addition To Code For Primary Procedure |
| 36908-CPT | High | Transcatheter Placement Of Intravascular Stent(S) Central Dialysis Segment Performed Through Di- Alysis Circuit Including All Imaging And Radiological Supervision And Interpretation Required To Perform The Stenting And All Angioplasty In The Central Dialysis Segment (List Separately In Addition To Code For Primary Procedure) (Desc Revised 1/1/2018) |
| 36909-CPT | High | Dialysis Circuit Embolj, Dialysis Circuit Permanent Vascular Embolization Or Occlusion Including Main Circuit Or Any Accessory Veins Endovascular Including All Imaging And Radiological Supervision And Interpretation Necessary To Complete The Intervention List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36909. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36909 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 36909) and we'll show you how you compare in 15 minutes or less.