CPT code 36470: Vein sclerotherapy, one incompetent vein2026 Medicare rate & RVUs in Alabama
Reports injection of sclerosant into one incompetent vein, commonly to treat a varicose vein associated with venous insufficiency.
In Alabama, Medicare pays $107.30 for 36470 in the office and $31.02 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36470 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36470 covers
A clinician injects a sclerosing agent into one incompetent vein, commonly a varicose vein in a patient with chronic venous insufficiency. Vascular surgeons, vein specialists, and other clinicians who perform venous procedures may provide the service in an office or facility. Imaging guidance and monitoring integral to the injection are included in the service.
Choose this code when treatment is directed to one incompetent vein; treatment of multiple incompetent veins is reported with 36471. The record should identify the treated vein, the venous condition, and the injection performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Alabama compares for 36470
Across 109 of 109 payment localities, the office rate for 36470 runs from $105.58 in Arkansas to $161.72 in San Benito County, CA. Alabama pays $107.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$107.30
- Los Angeles, CA · California$136.98+$29.68
- Washington, DC area · District of Columbia$139.08+$31.78
- Miami, FL · Florida$132.32+$25.02
- Chicago, IL · Illinois$128.03+$20.73
- Manhattan, NY · New York$140.23+$32.93
- Alaska · Alaska$136.80+$29.50
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $105.58 | $30.69 |
| ArizonaArizona | $117.35 | $32.88 |
| Bakersfield, CACalifornia | $128.20 | $32.66 |
| Chico, CACalifornia | $127.79 | $32.24 |
| El Centro, CACalifornia | $127.81 | $32.27 |
| Fresno, CACalifornia | $127.79 | $32.24 |
| Hanford, CACalifornia | $127.79 | $32.24 |
| Madera, CACalifornia | $127.79 | $32.24 |
| Merced, CACalifornia | $127.79 | $32.24 |
| Modesto, CACalifornia | $127.79 | $32.24 |
| Napa, CACalifornia | $149.09 | $34.19 |
| Oxnard, CACalifornia | $136.36 | $33.32 |
| Redding, CACalifornia | $127.79 | $32.24 |
| Rest of CaliforniaCalifornia | $127.79 | $32.24 |
| Riverside, CACalifornia | $129.40 | $33.85 |
| Sacramento, CACalifornia | $134.38 | $33.00 |
| Salinas, CACalifornia | $133.89 | $32.86 |
| San Diego, CACalifornia | $137.29 | $33.02 |
| Marin County, CACalifornia | $158.04 | $35.12 |
| San Francisco, CACalifornia | $157.87 | $34.95 |
| San Benito County, CACalifornia | $161.72 | $36.01 |
| Santa Clara County, CACalifornia | $161.02 | $35.32 |
| San Luis Obispo, CACalifornia | $131.72 | $32.43 |
| Santa Cruz, CACalifornia | $138.78 | $32.86 |
| Santa Maria, CACalifornia | $134.46 | $32.81 |
| Santa Rosa, CACalifornia | $140.18 | $33.13 |
| Stockton, CACalifornia | $127.79 | $32.24 |
| Vallejo, CACalifornia | $148.84 | $33.94 |
| Visalia, CACalifornia | $127.79 | $32.24 |
| Yuba City, CACalifornia | $127.79 | $32.24 |
| ColoradoColorado | $125.96 | $33.21 |
| ConnecticutConnecticut | $129.50 | $35.61 |
| DelawareDelaware | $119.43 | $33.30 |
| Fort Lauderdale, FLFlorida | $126.15 | $37.84 |
| Rest of FloridaFlorida | $119.40 | $36.06 |
| Atlanta, GAGeorgia | $123.46 | $34.88 |
| Rest of GeorgiaGeorgia | $111.99 | $34.23 |
| Hawaii, Guam, HIHawaii | $131.34 | $32.22 |
| IowaIowa | $110.11 | $30.34 |
| IdahoIdaho | $110.95 | $30.75 |
| East St. Louis, ILIllinois | $118.67 | $38.47 |
| Rest of IllinoisIllinois | $115.77 | $36.18 |
| Suburban Chicago, ILIllinois | $127.42 | $37.89 |
| IndianaIndiana | $111.66 | $30.84 |
| KansasKansas | $109.64 | $30.83 |
| KentuckyKentucky | $110.33 | $32.83 |
| New Orleans, LALouisiana | $116.19 | $34.16 |
| Rest of LouisianaLouisiana | $110.18 | $33.03 |
| Metropolitan Boston, MAMassachusetts | $139.11 | $35.03 |
| Rest of MassachusettsMassachusetts | $125.13 | $33.34 |
| Baltimore area, MDMaryland | $129.17 | $35.63 |
| Rest of MarylandMaryland | $121.84 | $33.62 |
| Rest of MaineMaine | $111.70 | $31.49 |
| Southern Maine, MEMaine | $118.24 | $31.85 |
| Detroit, MIMichigan | $121.15 | $37.02 |
| Rest of MichiganMichigan | $113.60 | $34.00 |
| MinnesotaMinnesota | $120.04 | $30.33 |
| Metropolitan Kansas City, MOMissouri | $115.21 | $33.35 |
| Metropolitan St. Louis, MOMissouri | $116.53 | $33.54 |
| Rest of MissouriMissouri | $108.15 | $33.01 |
| MississippiMississippi | $106.88 | $31.82 |
| MontanaMontana | $120.90 | $33.72 |
| North CarolinaNorth Carolina | $112.97 | $31.64 |
| North DakotaNorth Dakota | $117.94 | $30.76 |
| NebraskaNebraska | $110.75 | $30.28 |
| New HampshireNew Hampshire | $124.04 | $33.29 |
| Northern New JerseyNew Jersey | $137.43 | $36.31 |
| Rest of New JerseyNew Jersey | $130.79 | $35.60 |
| New MexicoNew Mexico | $114.32 | $34.38 |
| NevadaNevada | $120.17 | $32.90 |
| NYC suburbs and Long Island, NYNew York | $144.06 | $40.41 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $131.75 | $36.30 |
| Queens, NYNew York | $141.34 | $38.30 |
| Rest of New YorkNew York | $114.85 | $32.03 |
| OhioOhio | $112.99 | $33.40 |
| OklahomaOklahoma | $110.00 | $32.15 |
| Portland, OROregon | $130.18 | $33.32 |
| Rest of OregonOregon | $119.06 | $32.23 |
| Metropolitan Philadelphia, PAPennsylvania | $126.07 | $35.32 |
| Rest of PennsylvaniaPennsylvania | $113.13 | $33.10 |
| Puerto RicoPuerto Rico | $121.84 | $33.71 |
| Rhode IslandRhode Island | $123.85 | $33.80 |
| South CarolinaSouth Carolina | $113.20 | $32.65 |
| South DakotaSouth Dakota | $117.58 | $30.41 |
| TennesseeTennessee | $110.26 | $31.02 |
| Austin, TXTexas | $125.70 | $33.46 |
| Beaumont, TXTexas | $112.32 | $32.99 |
| Brazoria, TXTexas | $119.18 | $32.79 |
| Dallas, TXTexas | $120.05 | $33.23 |
| Fort Worth, TXTexas | $119.20 | $33.25 |
| Galveston, TXTexas | $119.60 | $33.04 |
| Houston, TXTexas | $122.35 | $35.78 |
| Rest of TexasTexas | $115.76 | $33.03 |
| UtahUtah | $114.91 | $32.96 |
| VirginiaVirginia | $117.88 | $32.19 |
| Virgin Islands, VIUnited States Virgin Islands | $121.84 | $33.71 |
| VermontVermont | $117.52 | $31.22 |
| Rest of WashingtonWashington | $124.88 | $33.08 |
| King County, WAWashington | $141.99 | $35.02 |
| WisconsinWisconsin | $113.60 | $30.09 |
| West VirginiaWest Virginia | $111.08 | $35.33 |
| WyomingWyoming | $119.61 | $32.43 |
36470 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$105.58
$144.76
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $136.80 | 1 |
| AL | $107.30 | 1 |
| AR | $105.58 | 1 |
| AZ | $117.35 | 1 |
| CA | $127.79–$161.72 | 29 |
| CO | $125.96 | 1 |
| CT | $129.50 | 1 |
| DC | $139.08 | 1 |
| DE | $119.43 | 1 |
| FL | $119.40–$132.32 | 3 |
| GA | $111.99–$123.46 | 2 |
| GU | $131.34 | 1 |
| HI | $131.34 | 1 |
| IA | $110.11 | 1 |
| ID | $110.95 | 1 |
| IL | $115.77–$128.03 | 4 |
| IN | $111.66 | 1 |
| KS | $109.64 | 1 |
| KY | $110.33 | 1 |
| LA | $110.18–$116.19 | 2 |
| MA | $125.13–$139.11 | 2 |
| MD | $121.84–$139.08 | 3 |
| ME | $111.70–$118.24 | 2 |
| MI | $113.60–$121.15 | 2 |
| MN | $120.04 | 1 |
| MO | $108.15–$116.53 | 3 |
| MS | $106.88 | 1 |
| MT | $120.90 | 1 |
| NC | $112.97 | 1 |
| ND | $117.94 | 1 |
| NE | $110.75 | 1 |
| NH | $124.04 | 1 |
| NJ | $130.79–$137.43 | 2 |
| NM | $114.32 | 1 |
| NV | $120.17 | 1 |
| NY | $114.85–$144.06 | 5 |
| OH | $112.99 | 1 |
| OK | $110.00 | 1 |
| OR | $119.06–$130.18 | 2 |
| PA | $113.13–$126.07 | 2 |
| PR | $121.84 | 1 |
| RI | $123.85 | 1 |
| SC | $113.20 | 1 |
| SD | $117.58 | 1 |
| TN | $110.26 | 1 |
| TX | $112.32–$125.70 | 8 |
| UT | $114.91 | 1 |
| VA | $117.88–$139.08 | 2 |
| VI | $121.84 | 1 |
| VT | $117.52 | 1 |
| WA | $124.88–$141.99 | 2 |
| WI | $113.60 | 1 |
| WV | $111.08 | 1 |
| WY | $119.61 | 1 |
How the 36470 rate is calculated
Each of 36470’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36470
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense2.74
2.74 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
3.6200
Conversion factor
$33.4009
Medicare rate
$120.91
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,484
- Code
- 36470
- Physician work
- 0.73
- Practice expense
- 2.74
- Malpractice
- 0.15
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 2.74 | × 0.875 | 2.3975 |
| Malpractice | 0.15 | × 0.566 | 0.0849 |
| Total RVUs | 3.2124 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$107.30
Office: (0.73 × 1 + 2.74 × 0.875 + 0.15 × 0.566) × $33.4009 = $107.30
Facility: (0.73 × 1 + 0.13 × 0.875 + 0.15 × 0.566) × $33.4009 = $31.02
Payment rules and modifiers for 36470
The CMS indicators that decide how 36470 is paid alongside other services.
CMS payment indicators · 36470
Vein sclerotherapy, one incompetent vein
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36470 without 50 · national office
$120.91
Vein sclerotherapy, one incompetent vein
36470-50 · Bilateral: 150%
$181.37
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 36470 has changed in Alabama
36470 · Office / nonfacility
$107.30
Effective 2026-10-01
The base rate is $8.39 higher than on 2025-10-01, moving from $98.91 to $107.30 (8.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$98.91changed to$107.30
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.75 changed to 0.73
- Practice expense RVU 2.55 changed to 2.74
- Malpractice RVU 0.16 changed to 0.15
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$101.89changed to$98.91
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.56 changed to 2.55
- Malpractice RVU 0.15 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$100.23changed to$101.89
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$105.30changed to$100.23
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.54 changed to 2.56
- Malpractice RVU 0.17 changed to 0.15
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$108.78changed to$105.30
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.55 changed to 2.54
- Malpractice RVU 0.14 changed to 0.17
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$107.52changed to$108.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.47 changed to 2.55
- Malpractice RVU 0.15 changed to 0.14
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$101.61changed to$107.52
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.22 changed to 2.47
- Malpractice RVU 0.13 changed to 0.15
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$97.83changed to$101.61
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.13 changed to 2.22
- Malpractice RVU 0.14 changed to 0.13
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$97.08changed to$97.83
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.11 changed to 2.13
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$97.08
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $107.30 | $31.02 | RVU26D |
| 2026-07-01 | $107.30 | $31.02 | RVU26C |
| 2026-04-01 | $107.30 | $31.02 | RVU26B |
| 2026-01-01 | $107.30 | $31.02 | RVU26A |
| 2025-10-01 | $98.91 | $33.70 | RVU25D |
| 2025-07-01 | $98.91 | $33.70 | RVU25C |
| 2025-04-01 | $98.91 | $33.70 | RVU25B |
| 2025-01-01 | $98.91 | $33.70 | RVU25A |
| 2024-10-01 | $101.89 | $34.20 | RVU24D |
| 2024-07-01 | $101.89 | $34.20 | RVU24C |
| 2024-04-01 | $101.89 | $34.20 | RVU24B |
| 2024-03-09 | $101.89 | $34.20 | RVU24AR |
| 2024-01-01 | $100.23 | $33.64 | RVU24A |
| 2023-10-01 | $105.30 | $36.27 | RVU23D |
| 2023-07-01 | $105.30 | $36.27 | RVU23C |
| 2023-04-01 | $105.30 | $36.27 | RVU23B |
| 2023-01-01 | $105.30 | $36.27 | RVU23A |
| 2022-10-01 | $108.78 | $37.18 | RVU22D |
| 2022-07-01 | $108.78 | $37.18 | RVU22C |
| 2022-04-01 | $108.78 | $37.18 | RVU22B |
| 2022-01-01 | $108.78 | $37.18 | RVU22A |
| 2021-10-01 | $107.52 | $37.81 | RVU21D |
| 2021-07-01 | $107.52 | $37.81 | RVU21C |
| 2021-04-01 | $107.52 | $37.81 | RVU21B |
| 2021-01-01 | $107.52 | $37.81 | RVU21A |
| 2020-10-01 | $101.61 | $37.44 | RVU20D |
| 2020-07-01 | $101.61 | $37.44 | RVU20C |
| 2020-04-01 | $101.61 | $37.44 | RVU20B |
| 2020-01-01 | $101.61 | $37.44 | RVU20A |
| 2019-10-01 | $97.83 | $36.57 | RVU19D |
| 2019-07-01 | $97.83 | $36.57 | RVU19C |
| 2019-04-01 | $97.83 | $36.57 | RVU19B |
| 2019-01-01 | $97.83 | $36.57 | RVU19A |
| 2018-10-01 | $97.08 | $36.53 | RVU18D |
| 2018-07-01 | $97.08 | $36.53 | RVU18C |
| 2018-04-01 | $97.08 | $36.53 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
36470 billing questions
When should 36470 be chosen instead of 36471?
Use 36470 when one incompetent vein is treated. When multiple incompetent veins are treated, consider 36471.
Can imaging guidance be billed separately?
Imaging guidance and monitoring integral to the sclerotherapy service are included; do not unbundle them as separate services.
How should bilateral treatment be reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Does 36470 have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 36470 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist