How much does Medicare pay for CPT 36902?

Medicare allowed an average of $1145.95 per service and paid $909.17 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3827.00, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36902?

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist. It was billed 112,761 times to 79,295 Medicare beneficiaries by 1,581 providers in 2024.

Does 36902 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1194.52 in an office setting and $1126.83 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 36902 most?

Ambulatory Surgical Center, with 31,956 services from 143 clinicians. Next are Nephrology, Vascular Surgery, Interventional Radiology.

CPT 36902

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist

$1145.95Medicare-allowed amount per service, averaged across 112,761 services

Providers submitted

$3827.00

Asking price, not received

Medicare allowed

$1145.95

The fee schedule figure

Medicare paid

$909.17

Balance is patient coinsurance

Providers submitted an average of $3827.00 for this code and Medicare allowed $1145.95 — 3.3× 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 $909.17 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1194.52
Hospital / facility: $1126.83

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. 31,846 services were billed in an office setting and 80,915 in a facility.

Services: 112,761
Beneficiaries: 79,295
Providers billing it: 1,581
Total allowed: $129,218,468

What Medicare pays for CPT 36902

Across 112,761 services billed by 1,581 providers to 79,295 beneficiaries, Medicare allowed an average of $1145.95 per service. That is 1.4 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 36902

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	31,956	19,144	$2501.47	143
Nephrology	31,543	23,664	$593.77	340
Vascular Surgery	17,890	13,355	$751.29	537
Interventional Radiology	13,742	10,215	$540.01	200
Diagnostic Radiology	8,991	6,593	$592.06	216
General Surgery	4,457	3,302	$455.50	88
Internal Medicine	2,780	1,944	$647.11	29
Critical Care (Intensivists)	389	300	$320.10	2
Hospitalist	173	126	$552.58	2
Thoracic Surgery	155	114	$451.19	4
Physician Assistant	154	133	$742.32	5
Emergency Medicine	134	98	$245.10	1
General Practice	121	90	$238.68	4
Cardiac Surgery	76	58	$223.45	2
Interventional Cardiology	59	39	$222.66	3

36902 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	13,980	$1371.68	$912.36	180
Texas	10,829	$1158.15	$947.52	144
New York	9,127	$1203.80	$808.08	107
Florida	6,869	$1164.43	$960.15	83
Illinois	6,459	$1192.29	$929.11	78
New Jersey	5,900	$1334.79	$971.33	63
Georgia	5,061	$1223.96	$983.27	75
Arizona	4,272	$1242.90	$1032.72	30
Virginia	4,031	$1187.68	$939.71	50
Ohio	3,761	$1222.64	$1032.29	49
North Carolina	3,577	$980.95	$817.28	49
Michigan	3,504	$968.54	$786.44	56
Pennsylvania	3,290	$1116.10	$889.35	55
Indiana	3,173	$1139.38	$928.23	30
Maryland	3,166	$1217.99	$923.05	41
Nevada	3,044	$1293.47	$1003.78	18
South Carolina	2,074	$706.91	$607.95	28
Alabama	1,483	$1045.25	$970.47	30
Tennessee	1,432	$930.08	$819.23	32
Mississippi	1,380	$980.47	$895.60	15
Kansas	1,368	$1169.84	$999.52	15
Massachusetts	1,197	$608.16	$458.72	25
Wisconsin	1,175	$1078.01	$892.45	21
Missouri	1,149	$750.62	$613.24	26
Louisiana	1,092	$667.23	$571.92	29
Washington	995	$886.80	$650.05	26
Connecticut	969	$1252.82	$888.80	14
Arkansas	909	$1040.60	$938.82	12
Rhode Island	792	$1341.81	$1065.86	2
Minnesota	768	$913.46	$719.49	26
Oklahoma	708	$403.13	$327.24	26
Kentucky	680	$404.11	$326.54	21
Colorado	603	$848.61	$653.07	19
Oregon	568	$1321.93	$968.94	10
Delaware	470	$1150.34	$922.92	6
Utah	393	$1151.65	$950.11	8
New Mexico	303	$916.74	$806.02	6
Alaska	285	$857.97	$558.19	9
Hawaii	221	$725.49	$542.91	7
District of Columbia	201	$578.25	$412.73	3
South Dakota	196	$370.77	$292.83	9
Nebraska	187	$662.63	$547.66	8
North Dakota	183	$215.92	$170.51	6
Iowa	180	$367.39	$317.08	9
Maine	153	$228.62	$176.32	4
Guam	135	$1282.48	$916.22	2
New Hampshire	116	$225.83	$169.40	6
Puerto Rico	107	$958.11	$1080.84	3
Idaho	97	$212.16	$171.78	5
U.S. Virgin Islands	72	$1103.02	$1028.41	2
West Virginia	38	$240.46	$177.07	1
Wyoming	27	$223.31	$160.18	1
Vermont	12	$207.80	$150.80	1

Related codes

36907Balloon dilation of dialysis segment$366.37
36901Insertion of needle and/or tube into hemodialysis circuit$388.29
36905Removal and/or dissolving of blood clot in hemodialysis circuit and ba$2871.34
36903Insertion of needle and/or tube into hemodialysis circuit and insertio$3750.51
36906Removal and/or dissolving of blood clot in hemodialysis circuit and ba$5934.78

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.