How much does Medicare pay for CPT 36247?

Medicare allowed an average of $508.22 per service and paid $404.83 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3807.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36247?

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch. It was billed 36,916 times to 24,652 Medicare beneficiaries by 993 providers in 2024.

Does 36247 pay differently in an office than a hospital?

Yes. The allowed amount averaged $815.84 in an office setting and $188.05 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 36247 most?

Interventional Radiology, with 13,816 services from 331 clinicians. Next are Diagnostic Radiology, Vascular Surgery, Cardiology.

CPT 36247

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch

$508.22Medicare-allowed amount per service, averaged across 36,916 services

Providers submitted

$3807.79

Asking price, not received

Medicare allowed

$508.22

The fee schedule figure

Medicare paid

$404.83

Balance is patient coinsurance

Providers submitted an average of $3807.79 for this code and Medicare allowed $508.22 — 7.5× 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 $404.83 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $815.84
Hospital / facility: $188.05

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. 18,827 services were billed in an office setting and 18,089 in a facility.

Services: 36,916
Beneficiaries: 24,652
Providers billing it: 993
Total allowed: $18,761,450

What Medicare pays for CPT 36247

Across 36,916 services billed by 993 providers to 24,652 beneficiaries, Medicare allowed an average of $508.22 per service. That is 1.5 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 36247

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Radiology	13,816	8,732	$455.05	331
Diagnostic Radiology	12,109	8,363	$405.49	363
Vascular Surgery	3,935	3,244	$550.56	145
Cardiology	3,599	2,195	$810.38	78
Interventional Cardiology	2,172	1,200	$764.24	39
General Surgery	361	297	$643.57	14
Nephrology	249	102	$725.08	1
Internal Medicine	235	201	$867.71	6
Urology	101	66	$212.69	2
Thoracic Surgery	93	82	$517.89	5
General Practice	76	59	$654.55	2
Cardiac Surgery	46	29	$794.47	2
Peripheral Vascular Disease	35	13	$865.79	1
Emergency Medicine	25	17	$261.82	1
Undefined Physician type	22	19	$158.00	1

36247 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	6,815	$586.36	$405.41	131
Florida	2,894	$534.08	$423.85	92
New York	2,740	$562.12	$391.99	63
Texas	2,090	$510.53	$414.19	65
North Carolina	1,908	$512.02	$439.52	41
Virginia	1,807	$551.90	$395.39	40
Michigan	1,634	$686.22	$504.10	24
Arizona	1,477	$544.20	$440.35	30
Maryland	1,371	$610.86	$448.70	25
Pennsylvania	1,206	$319.64	$247.21	38
Missouri	1,014	$529.69	$438.97	20
Massachusetts	942	$566.45	$409.26	27
Illinois	913	$394.68	$297.65	34
Tennessee	715	$406.02	$351.45	27
New Jersey	664	$690.27	$490.02	20
Washington	556	$333.39	$259.43	25
Mississippi	537	$568.49	$476.98	14
Ohio	485	$364.45	$305.11	17
South Carolina	477	$217.40	$180.10	19
Georgia	457	$474.37	$408.49	16
Colorado	450	$544.07	$416.45	10
Oregon	421	$205.48	$163.75	16
Indiana	408	$269.83	$232.57	17
Kentucky	389	$424.64	$367.25	12
Iowa	367	$381.90	$320.68	11
Alabama	364	$552.66	$493.47	12
District of Columbia	336	$557.83	$380.70	10
Minnesota	307	$284.03	$231.31	12
Wisconsin	301	$277.51	$227.45	13
Arkansas	271	$399.31	$358.54	7
South Dakota	266	$601.51	$482.94	8
Louisiana	252	$450.59	$379.66	8
Kansas	236	$246.44	$206.32	8
Nebraska	229	$162.71	$138.84	9
Oklahoma	226	$294.07	$253.20	12
Delaware	157	$464.57	$370.99	5
Utah	153	$250.61	$209.67	5
Connecticut	152	$293.32	$214.38	7
Nevada	134	$399.96	$320.85	6
Idaho	130	$185.61	$159.47	6
Hawaii	118	$304.44	$238.43	6
Montana	114	$173.34	$140.17	4
North Dakota	79	$169.61	$143.01	5
New Hampshire	76	$156.89	$129.90	4
New Mexico	67	$906.99	$757.36	3
West Virginia	64	$194.96	$150.42	3
Guam	62	$1062.37	$777.79	1
Alaska	36	$284.27	$171.09	2
Vermont	22	$178.49	$151.04	1
Rhode Island	16	$191.76	$144.30	1
Wyoming	11	$171.24	$158.19	1

Related codes

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
36245Insertion of tube into abdominal$406.16
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.