RxDoctor Payments Data

CPT 36410

Insertion of needle into vein (3 years or older)

$16.89Medicare-allowed amount per service, averaged across 89,456 services
Providers submitted
$47.17

Asking price, not received

Medicare allowed
$16.89

The fee schedule figure

Medicare paid
$12.11

Balance is patient coinsurance

Providers submitted an average of $47.17 for this code and Medicare allowed $16.892.8× 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 $12.11 (72%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$18.06
Hospital / facility
$8.48

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. 78,513 services were billed in an office setting and 10,943 in a facility.

Services
89,456

Medicare Part B, 2024

Beneficiaries
52,390
Providers billing it
980
Total allowed
$1,510,912

Services × allowed amount

What Medicare pays for CPT 36410

Across 89,456 services billed by 980 providers to 52,390 beneficiaries, Medicare allowed an average of $16.89 per service. That is 1.7 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 36410

SpecialtyServicesBeneficiariesAvg allowedProviders
Internal Medicine42,59922,621$18.39297
Family Practice12,0387,112$18.30119
Nurse Practitioner5,2694,013$13.17109
Physician Assistant3,5343,290$8.87101
Cardiology2,5851,315$16.4420
Diagnostic Radiology2,4502,234$9.6372
Geriatric Medicine1,927986$19.325
Pain Management1,911284$16.494
General Practice1,8711,102$17.7115
Urology1,7981,396$17.3719
Rheumatology1,624570$17.587
Interventional Cardiology1,236372$10.504
Emergency Medicine1,147790$16.7931
Infectious Disease1,106525$18.1016
Anesthesiology1,037975$8.1928

36410 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.

StateServicesAllowedStandardized pmtProviders
California18,557$17.63$11.33173
New York16,004$17.47$11.02211
New Jersey12,046$17.89$12.20120
Maryland6,949$18.09$11.4035
Florida4,864$15.45$11.0449
Texas4,473$16.00$11.4739
Illinois4,222$17.42$11.4738
North Carolina3,107$16.22$12.369
Virginia2,848$17.91$11.3040
Arizona2,576$16.40$13.1816
Michigan1,633$13.21$8.9928
Tennessee1,493$15.41$12.1423
Missouri1,252$12.33$9.6116
South Carolina1,100$16.42$13.228
Massachusetts1,064$14.65$9.8125
Pennsylvania1,035$15.02$10.0216
Washington1,034$17.65$11.019
Ohio739$13.14$10.3615
Connecticut652$15.74$11.239
Mississippi557$8.90$6.6517
District of Columbia477$16.78$10.787
Georgia469$15.03$10.769
Indiana335$17.14$10.875
Alabama322$11.80$8.2110
West Virginia260$12.95$8.987
Oklahoma221$15.55$12.784
Vermont193$17.26$11.941
Wisconsin150$8.07$6.416
Maine131$15.99$9.004
Colorado116$17.29$12.492
Iowa103$8.40$6.487
New Hampshire70$8.11$6.103
Oregon67$18.35$10.511
Kentucky59$5.32$4.234
Minnesota57$12.14$8.433
North Dakota47$14.50$9.801
Nebraska34$9.87$8.482
South Dakota31$8.47$6.022
Delaware30$19.13$13.431
Arkansas30$15.08$13.182
Kansas25$13.65$11.331
Louisiana24$8.48$6.872

Related codes

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.