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 49435 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.
Insertion Of Subcutaneous Exte, Insertion Of Subcutaneous Extension To Intraperitoneal Cannula Or Catheter With Remote Chest Exit Site (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 49435 |
| Medicaid Fee Schedule | View Medicaid rates for 49435 |
National average reimbursement for CPT 49435 by major payers:
$157.10
$161.16
$166.09
$199.59
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 49435.
CPT 49435
5 of 25 sample ratesHigher to lower in this preview
Chca Mainland, L.P., Mainland Medical Center
$2,566.00Published rateMurdock Ambulatory Surgery Center LLC
Murdock Ambulatory Surgery Cente
$1,276.00Published ratePremier Asc LLC, Premier Orthopaedic Surgery Center
$821.00Published rateArizona Advanced Surgery Center, LLC
Arizona Advanced Surgery Center LLC
$670.00Published rateSuncoast Eye Center PA, Suncoast Surgery Institute
Suncoast Eye Center PA
$450.00Published 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 49435 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49435 code is part of the Surgery services used for Surgical Procedures on the Digestive 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 49435 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 |
|---|---|---|
| 49425-CPT | Moderate | Shunt Placement In Abdomen, Procedure To Insert Shunt (Passage That Allows Movement Of Fluid From One Part Of The Body To Another). |
| 49426-CPT | Moderate | Shunt Placement In Abdomen, Procedure To Insert Shunt (Passage That Allows Movement Of Fluid From One Part Of The Body To Another). |
| 49435-CPT | Low | Insertion Of Subcutaneous Exte, Insertion Of Subcutaneous Extension To Intraperitoneal Cannula Or Catheter With Remote Chest Exit Site (List Separately In Addition To Code For Primary Procedure) |
| 49436-CPT | Moderate | Delayed Creation Of Exit Site, Delayed Creation Of Exit Site From Embedded Subcutaneous Segment Of Intraperitoneal Cannula Or Catheter |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49435. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49435 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 49435) and we'll show you how you compare in 15 minutes or less.