How much does Medicare pay for CPT 36245?

Medicare allowed an average of $406.16 per service and paid $323.06 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2315.54, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36245?

Insertion of tube into abdominal, pelvic, or leg artery, each first order branch. It was billed 6,385 times to 4,500 Medicare beneficiaries by 211 providers in 2024.

Does 36245 pay differently in an office than a hospital?

Yes. The allowed amount averaged $701.68 in an office setting and $130.59 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 36245 most?

Diagnostic Radiology, with 1,606 services from 58 clinicians. Next are Interventional Radiology, Cardiology, Vascular Surgery.

CPT 36245

Insertion of tube into abdominal, pelvic, or leg artery, each first order branch

$406.16Medicare-allowed amount per service, averaged across 6,385 services

Providers submitted

$2315.54

Asking price, not received

Medicare allowed

$406.16

The fee schedule figure

Medicare paid

$323.06

Balance is patient coinsurance

Providers submitted an average of $2315.54 for this code and Medicare allowed $406.16 — 5.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $323.06 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $701.68
Hospital / facility: $130.59

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 3,081 services were billed in an office setting and 3,304 in a facility.

Services: 6,385
Beneficiaries: 4,500
Providers billing it: 211
Total allowed: $2,593,332

What Medicare pays for CPT 36245

Across 6,385 services billed by 211 providers to 4,500 beneficiaries, Medicare allowed an average of $406.16 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 36245

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	1,606	1,221	$334.78	58
Interventional Radiology	1,241	780	$293.67	47
Cardiology	1,105	816	$588.98	26
Vascular Surgery	901	687	$330.37	35
Interventional Cardiology	753	502	$523.63	23
General Surgery	281	187	$358.67	11
Nephrology	249	102	$635.55	1
Neurosurgery	102	83	$114.87	3
Internal Medicine	68	53	$656.85	3
Peripheral Vascular Disease	28	24	$111.66	1
General Practice	25	23	$1075.71	1
Thoracic Surgery	13	11	$135.19	1
Cardiac Surgery	13	11	$98.38	1

36245 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	1,213	$479.51	$337.18	25
Florida	860	$575.38	$458.93	19
New York	588	$564.39	$390.21	19
Texas	439	$489.06	$405.70	17
Arizona	212	$509.49	$419.03	6
Virginia	194	$208.12	$154.05	7
District of Columbia	188	$704.40	$477.94	1
Tennessee	178	$322.61	$288.87	9
Maryland	173	$295.76	$220.99	8
Ohio	168	$371.12	$317.58	5
Massachusetts	157	$297.01	$206.62	7
Illinois	146	$137.67	$95.04	8
Michigan	144	$474.40	$394.79	3
South Carolina	140	$113.35	$94.64	5
Alabama	110	$106.40	$90.54	4
Minnesota	101	$112.21	$90.43	4
Pennsylvania	99	$362.75	$274.04	6
North Carolina	97	$264.50	$231.48	6
Kansas	92	$130.12	$107.21	3
Montana	85	$151.30	$120.70	3
South Dakota	82	$113.44	$94.44	4
New Jersey	80	$532.32	$367.80	3
Arkansas	77	$392.09	$341.22	3
Indiana	69	$130.75	$110.97	3
Washington	66	$136.71	$91.00	3
Nebraska	62	$100.88	$89.40	3
New Hampshire	60	$127.71	$95.54	3
Nevada	58	$625.57	$509.44	3
Missouri	56	$159.44	$127.16	2
Oklahoma	52	$159.08	$134.84	3
Louisiana	49	$612.89	$535.38	3
Kentucky	48	$113.52	$86.12	2
West Virginia	47	$111.46	$85.00	1
Oregon	43	$126.60	$100.50	2
Georgia	38	$474.75	$457.52	2
Connecticut	31	$234.94	$171.48	1
Wisconsin	26	$173.85	$134.30	1
Idaho	16	$109.06	$94.84	1
Mississippi	16	$213.35	$173.12	1
Iowa	13	$622.73	$542.98	1
Colorado	12	$119.90	$89.29	1

Related codes

36247Insertion of tube into abdominal$508.22
36248Insertion of tube into abdominal$94.94
36224Insertion of tube into internal neck artery for diagnosis or treatment$416.64
36226Insertion of tube into brain artery for diagnosis or treatment$286.02
36215Insertion of tube into chest or arm artery$311.96
36223Insertion of tube into intracranial artery for diagnosis or treatment$304.28
36227Insertion of tube into external neck artery for diagnosis or treatment$157.57
36246Insertion of tube into abdominal$345.02
36225Insertion of tube into chest artery for diagnosis or treatment$253.70
36200Insertion of tube into aorta$221.32

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.