How much does Medicare pay for CPT 36248?

Medicare allowed an average of $94.94 per service and paid $75.82 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $398.14, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36248?

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond. It was billed 28,006 times to 8,318 Medicare beneficiaries by 292 providers in 2024.

Does 36248 pay differently in an office than a hospital?

Yes. The allowed amount averaged $113.35 in an office setting and $46.73 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 36248 most?

Interventional Radiology, with 15,724 services from 134 clinicians. Next are Diagnostic Radiology, Vascular Surgery, Cardiology.

CPT 36248

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond

$94.94Medicare-allowed amount per service, averaged across 28,006 services

Providers submitted

$398.14

Asking price, not received

Medicare allowed

$94.94

The fee schedule figure

Medicare paid

$75.82

Balance is patient coinsurance

Providers submitted an average of $398.14 for this code and Medicare allowed $94.94 — 4.2× 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 $75.82 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $113.35
Hospital / facility: $46.73

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. 20,266 services were billed in an office setting and 7,740 in a facility.

Services: 28,006
Beneficiaries: 8,318
Providers billing it: 292
Total allowed: $2,658,890

What Medicare pays for CPT 36248

Across 28,006 services billed by 292 providers to 8,318 beneficiaries, Medicare allowed an average of $94.94 per service. That is 3.4 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 36248

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Radiology	15,724	4,267	$95.26	134
Diagnostic Radiology	10,915	3,326	$93.90	127
Vascular Surgery	500	239	$104.41	10
Cardiology	341	215	$95.29	9
Interventional Cardiology	272	179	$87.35	8
Internal Medicine	140	36	$116.80	1
General Surgery	95	43	$109.20	2
Emergency Medicine	19	13	$49.21	1

36248 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
Virginia	2,851	$118.63	$83.89	12
Arizona	2,324	$105.92	$85.92	10
Maryland	2,319	$115.76	$86.33	8
California	2,309	$68.20	$51.50	40
New York	2,264	$100.83	$77.06	17
Massachusetts	2,184	$116.51	$84.91	11
Missouri	1,937	$105.72	$87.56	5
Texas	1,518	$93.04	$78.35	15
North Carolina	1,363	$96.79	$82.50	10
Florida	1,017	$79.66	$62.76	28
Michigan	926	$102.81	$88.01	3
Mississippi	611	$107.60	$84.08	3
Illinois	473	$72.73	$56.07	10
Tennessee	455	$66.67	$56.67	8
Kentucky	436	$98.20	$85.38	2
Pennsylvania	415	$47.85	$36.42	12
Ohio	376	$94.87	$80.15	6
Iowa	361	$85.70	$82.22	4
Colorado	331	$104.85	$83.02	3
Alabama	319	$71.63	$79.48	4
Nebraska	271	$42.57	$36.44	6
Washington	270	$67.92	$53.94	7
Delaware	247	$96.16	$76.52	4
Louisiana	243	$44.46	$36.77	3
South Carolina	223	$44.05	$36.54	7
Oregon	215	$53.03	$41.83	6
Minnesota	210	$61.72	$51.08	6
Oklahoma	185	$42.29	$36.70	5
South Dakota	140	$62.44	$50.79	3
Wisconsin	136	$94.36	$74.66	3
Georgia	124	$57.11	$44.09	4
Montana	120	$44.44	$36.63	2
Kansas	110	$42.94	$36.72	3
Arkansas	90	$63.59	$55.87	3
New Mexico	82	$106.57	$89.41	2
Connecticut	79	$69.41	$51.79	2
Indiana	72	$43.01	$36.45	2
Utah	71	$44.57	$36.02	2
New Jersey	71	$47.66	$36.46	3
District of Columbia	68	$129.36	$89.51	1
West Virginia	64	$48.02	$36.43	2
North Dakota	37	$43.90	$36.49	1
Alaska	31	$60.93	$36.19	1
Nevada	25	$111.29	$89.16	1
Hawaii	17	$42.78	$36.76	1
Rhode Island	16	$47.66	$36.31	1

Related codes

36247Insertion of tube into abdominal$508.22
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.