How much does Medicare pay for CPT 36573?

Medicare allowed an average of $94.78 per service and paid $74.62 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $647.71, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36573?

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older. It was billed 27,097 times to 25,589 Medicare beneficiaries by 998 providers in 2024.

Does 36573 pay differently in an office than a hospital?

Yes. The allowed amount averaged $343.72 in an office setting and $78.53 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 36573 most?

Diagnostic Radiology, with 12,829 services from 498 clinicians. Next are Physician Assistant, Interventional Radiology, Nurse Practitioner.

CPT 36573

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older

$94.78Medicare-allowed amount per service, averaged across 27,097 services

Providers submitted

$647.71

Asking price, not received

Medicare allowed

$94.78

The fee schedule figure

Medicare paid

$74.62

Balance is patient coinsurance

Providers submitted an average of $647.71 for this code and Medicare allowed $94.78 — 6.8× 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 $74.62 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $343.72
Hospital / facility: $78.53

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. 1,660 services were billed in an office setting and 25,437 in a facility.

Services: 27,097
Beneficiaries: 25,589
Providers billing it: 998
Total allowed: $2,568,254

What Medicare pays for CPT 36573

Across 27,097 services billed by 998 providers to 25,589 beneficiaries, Medicare allowed an average of $94.78 per service. 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 36573

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	12,829	12,337	$82.78	498
Physician Assistant	4,644	4,477	$71.36	174
Interventional Radiology	4,511	4,325	$88.51	182
Nurse Practitioner	3,208	2,735	$125.15	69
Infectious Disease	411	337	$379.45	11
Internal Medicine	352	316	$165.64	11
Vascular Surgery	321	302	$143.60	14
General Surgery	123	110	$78.15	6
Emergency Medicine	107	106	$179.27	7
Interventional Cardiology	106	106	$81.68	4
Family Practice	95	88	$164.56	2
Pulmonary Disease	82	79	$88.03	4
Certified Registered Nurse Anesthetist (CRNA)	60	57	$75.32	4
Anesthesiology	51	47	$81.51	3
Ambulatory Surgical Center	42	32	$481.97	1

36573 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	3,267	$106.77	$78.72	80
New York	2,652	$84.37	$60.71	101
New Jersey	2,283	$82.77	$60.86	64
Florida	1,993	$176.16	$138.25	54
Virginia	1,967	$74.91	$59.51	79
Pennsylvania	1,308	$80.31	$61.44	57
Mississippi	980	$74.19	$60.33	21
Massachusetts	933	$82.10	$61.57	33
Wisconsin	900	$70.51	$58.65	40
Illinois	894	$86.31	$65.08	38
North Carolina	738	$72.72	$59.51	39
Texas	717	$214.28	$166.78	33
Connecticut	716	$78.97	$59.00	26
Idaho	708	$69.42	$56.62	22
Georgia	568	$111.96	$89.70	27
Michigan	559	$99.76	$79.11	26
South Carolina	557	$72.94	$57.87	19
Ohio	523	$73.59	$60.52	12
Missouri	498	$74.83	$59.83	23
Maryland	385	$79.41	$60.94	20
Kentucky	292	$70.87	$57.42	17
Indiana	271	$76.96	$62.71	14
Alabama	270	$138.34	$127.34	12
Iowa	215	$73.95	$58.24	11
Colorado	199	$76.27	$60.85	8
Minnesota	198	$79.24	$61.95	11
West Virginia	196	$70.07	$55.92	8
South Dakota	189	$80.29	$63.67	5
Oklahoma	158	$104.40	$90.78	5
Washington	154	$78.08	$62.12	8
Arkansas	151	$76.82	$63.46	6
Louisiana	150	$77.46	$63.19	7
Nevada	136	$78.41	$61.03	6
Rhode Island	132	$77.05	$60.09	5
Wyoming	128	$107.01	$86.95	5
Kansas	127	$78.14	$63.23	7
Montana	123	$79.24	$62.07	4
Tennessee	119	$75.33	$63.64	6
Arizona	114	$77.66	$60.79	8
New Hampshire	112	$79.84	$61.37	6
Nebraska	102	$71.48	$63.31	7
Oregon	87	$138.03	$111.31	3
Guam	79	$83.17	$63.50	2
District of Columbia	69	$85.62	$63.49	4
Vermont	65	$88.26	$61.63	2
Maine	50	$78.31	$55.34	2
Hawaii	17	$79.97	$62.19	1
Delaware	13	$86.77	$63.59	1
North Dakota	13	$77.27	$63.43	1
New Mexico	11	$78.64	$58.00	1
Puerto Rico	11	$79.12	$63.49	1

Related codes

36556Insertion of non-tunneled central venous tube for infusion (5 years or$81.86
36561Insertion of central venous tube$398.30
36558Insertion of tunneled central venous tube for infusion (5 years or old$285.71
36591Collection of blood sample from implanted device$27.38
36589Removal of tunneled central venous tube$161.38
36581Replacement of tunneled central venous tube$744.12
36590Removal of central venous tube$196.77
36514Mechanical separation of plasma from blood$92.43
36593Declotting of central venous tube$38.30
36569Insertion of tube for infusion (5 years or older)$91.24
36500Insertion of tube into vein$91.52
36522Mechanical separation of white blood cells and platelets from blood$90.95

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.