CPT 36465 · professional fee

Njx noncmpnd sclrsnt 1 vein (CPT 36465): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 36465, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$185

P10 to P90: $120 to $343

vs Medicare

176%

facility rate $105.55

Payer spread

1.42×

UHC $208 vs Aetna $147

State spread

3.7×

AK $471 to CA $128

4,949 sampled providers6,583 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 36465 in the files analyzed, at $208, 42% above Aetna ($147), the lowest of the 4 payers shown.

The state spread is 3.7×: Alaska has the highest median at $471 and California the lowest at $128, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 176% of the Medicare facility rate ($105.55), which ranks 75th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $71) and widest within Blue Cross Blue Shield ($111).

This is a top-31 code for cardiology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

The Medicare comparison uses the facility rate: the non-facility rate ($1,286.60) is 12.2× higher because it includes device or supply cost that professional-fee contracts do not.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$208	$160	$278	+12%	1	4,129	197% of Medicare
Cigna	$187	$152	$249	+1%	2	3,799	177% of Medicare
Blue Cross Blue Shield	$175	$134	$245	-5%	3	3,561	166% of Medicare
Aetna	$147	$131	$202	-21%	4	2,222	139% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($105.55)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$471	+154%	n/a	n/a	27
2	Wisconsin	$284	+53%	UHC	Aetna	100
3	Wyoming	$281	+52%	n/a	n/a	20
4	Georgia	$261	+41%	UHC	Aetna	127
5	Oregon	$260	+40%	UHC	Aetna	92
6	Minnesota	$258	+39%	UHC	Aetna	101
6	South Dakota	$258	+39%	Cigna	UHC	34
8	Connecticut	$253	+36%	UHC	Aetna	118
9	New Hampshire	$247	+33%	UHC	Aetna	114
10	Washington	$241	+30%	UHC	Aetna	107
11	North Dakota	$234	+26%	n/a	n/a	30
12	Massachusetts	$226	+22%	UHC	Aetna	106
13	Illinois	$223	+21%	UHC	Aetna	119
14	North Carolina	$223	+20%	UHC	Aetna	114
15	Iowa	$222	+19%	UHC	Aetna	112
16	Nebraska	$221	+19%	UHC	BCBS	80
17	District of Columbia	$203	+10%	UHC	BCBS	80
18	Vermont	$192	+3%	BCBS	Cigna	25
19	Ohio	$191	+3%	UHC	BCBS	116
20	New York	$190	+2%	BCBS	Aetna	117
21	Rhode Island	$189	+2%	UHC	Aetna	90
22	New Mexico	$189	+2%	Aetna	BCBS	82
23	Mississippi	$187	+1%	Aetna	BCBS	127
24	Colorado	$187	+1%	UHC	Aetna	127
25	Tennessee	$186	+1%	UHC	Aetna	122
26	Hawaii	$186	+0%	n/a	n/a	24
27	Idaho	$185	-0%	Aetna	BCBS	61
28	Michigan	$185	-0%	BCBS	Aetna	115
29	Arkansas	$184	-1%	UHC	BCBS	119
30	Utah	$184	-1%	BCBS	Cigna	94
30	Montana	$184	-1%	BCBS	Cigna	48
32	Kansas	$182	-2%	UHC	BCBS	119
33	Missouri	$182	-2%	UHC	Aetna	120
34	Maine	$180	-3%	UHC	Cigna	99
35	West Virginia	$177	-4%	Cigna	BCBS	77
36	New Jersey	$177	-5%	UHC	BCBS	113
37	South Carolina	$174	-6%	UHC	Aetna	112
38	Kentucky	$173	-6%	UHC	BCBS	128
39	Pennsylvania	$168	-10%	UHC	Cigna	98
40	Louisiana	$167	-10%	UHC	Cigna	106
41	Oklahoma	$167	-10%	UHC	Aetna	119
42	Virginia	$150	-19%	UHC	BCBS	123
43	Texas	$148	-20%	UHC	BCBS	130
44	Indiana	$148	-20%	UHC	Aetna	122
45	Florida	$144	-22%	Cigna	Aetna	110
46	Maryland	$140	-24%	Cigna	BCBS	111
47	Alabama	$140	-25%	Aetna	BCBS	123
48	Delaware	$139	-25%	Aetna	BCBS	72
49	Nevada	$132	-29%	Cigna	BCBS	115
50	Arizona	$129	-30%	Cigna	BCBS	98
51	California	$128	-31%	Cigna	Aetna	106

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 36465?

In the files we analyzed, UnitedHealthcare, at a median of $208 across 4,129 sampled providers. Aetna is lowest at $147, 42% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 176% of the 2026 Medicare facility rate of $105.55.

Which state has the highest median for CPT 36465?

Alaska has the highest median at $471; California has the lowest at $128.

Is this the surgeon, physician or facility payment?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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