RxDoctor Payments Data

CPT 36471

Injection of chemical agent into multiple incompetent veins of leg

$187.64Medicare-allowed amount per service, averaged across 72,459 services
Providers submitted
$576.38

Asking price, not received

Medicare allowed
$187.64

The fee schedule figure

Medicare paid
$143.85

Balance is patient coinsurance

Providers submitted an average of $576.38 for this code and Medicare allowed $187.643.1× 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 $143.85 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$190.63
Hospital / facility
$65.75

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. 70,728 services were billed in an office setting and 1,731 in a facility.

Services
72,459

Medicare Part B, 2024

Beneficiaries
32,176
Providers billing it
882
Total allowed
$13,596,207

Services × allowed amount

What Medicare pays for CPT 36471

Across 72,459 services billed by 882 providers to 32,176 beneficiaries, Medicare allowed an average of $187.64 per service. That is 2.3 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 36471

SpecialtyServicesBeneficiariesAvg allowedProviders
Vascular Surgery17,5987,381$203.54218
General Surgery13,6395,805$188.90145
Family Practice7,2972,564$191.1352
Diagnostic Radiology3,6712,022$167.9559
Emergency Medicine3,5481,672$191.7533
Cardiology3,4531,764$177.8147
Internal Medicine3,4041,398$204.9243
Nurse Practitioner2,9831,675$175.4160
Interventional Radiology2,9131,667$171.1761
Physician Assistant2,8751,413$176.3744
Cardiac Surgery1,966711$190.7211
Obstetrics & Gynecology1,887679$188.3411
Thoracic Surgery1,525664$158.2916
Interventional Cardiology1,399737$183.6230
General Practice1,043500$182.4910

36471 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
Florida10,656$190.61$146.65107
California6,944$215.01$147.4887
Texas6,041$178.78$142.9079
Arizona4,532$178.16$143.4233
Illinois4,152$202.35$150.2957
Maryland4,071$195.11$143.5124
New York3,868$219.33$162.0740
North Carolina3,474$180.82$149.4444
Missouri2,621$173.32$148.7717
Michigan2,190$223.38$171.8733
New Jersey2,145$190.71$132.5534
Georgia1,954$176.81$140.0529
Ohio1,790$189.98$151.8422
Colorado1,727$173.33$132.1426
Indiana1,292$177.42$152.6513
Virginia1,083$171.22$133.3428
Connecticut1,057$211.07$149.4115
South Carolina981$181.65$149.6811
Mississippi960$136.68$123.733
Wisconsin925$180.63$153.1016
Arkansas785$165.08$148.895
Kansas764$171.60$141.127
New Mexico682$163.18$139.826
Pennsylvania614$217.52$179.3712
Oregon606$148.48$116.8610
Kentucky567$187.98$150.176
Oklahoma544$73.37$61.229
Minnesota507$151.67$114.5212
Tennessee458$167.25$140.4710
Iowa457$179.83$149.957
Massachusetts442$194.38$134.6711
South Dakota439$122.18$100.939
Utah424$104.12$86.457
Washington402$206.53$148.4910
Alabama382$139.61$120.208
Montana307$154.19$116.364
Nevada259$133.70$103.703
Hawaii227$173.57$126.963
Idaho202$174.22$145.675
West Virginia161$198.45$162.104
Rhode Island140$200.64$152.671
Puerto Rico139$194.57$138.331
Louisiana134$184.51$140.354
Nebraska123$100.09$74.533
Wyoming94$171.54$124.892
District of Columbia87$230.24$158.943
Guam35$180.35$125.411
Vermont15$88.71$57.661

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.