CPT code 36555: Central line insertion, under age 52026 Medicare rate & RVUs in San Benito County, CA
Reports placement of a non-tunneled, centrally inserted venous catheter in a child younger than five, such as for intensive-care infusions or monitoring.
In San Benito County, CA, Medicare pays $282.08 for 36555 in the office and $88.46 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36555 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 36555 covers
This service covers placement of a non-tunneled central venous catheter in a child younger than five. A physician or other qualified clinician may perform it in an operating room, intensive care unit, emergency department, or another setting requiring central access. Typical access routes include the internal jugular, subclavian, or femoral vein. The catheter provides central venous access for needs such as vasoactive medication, prolonged infusion, or hemodynamic monitoring; it is not a tunneled line, implanted port, or peripherally inserted catheter.
Select this code based on the patient’s age on the service date and the centrally inserted, non-tunneled catheter type. Documentation should identify the indication, catheter and access route, insertion, and the patient’s age. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Medicare does not pay for an assistant-at-surgery service for this code, and co-surgeon and team-surgery reporting is 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 San Benito County, CA compares for 36555
Across 109 of 109 payment localities, the office rate for 36555 runs from $190.35 in Arkansas to $282.08 in San Benito County, CA. San Benito County, CA pays $282.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- San Benito County, CA · this page$282.08
- Bakersfield, CA · California$226.48−$55.60
- Chico, CA · California$225.97−$56.11
- El Centro, CA · California$225.99−$56.09
- Fresno, CA · California$225.97−$56.11
- Hanford, CA · California$225.97−$56.11
- Los Angeles, CA · California$240.80−$41.28
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $225.97 | $78.81 |
| Merced, CACalifornia | $225.97 | $78.81 |
| Modesto, CACalifornia | $225.97 | $78.81 |
| Napa, CACalifornia | $260.96 | $83.99 |
| Oxnard, CACalifornia | $239.62 | $80.91 |
| Redding, CACalifornia | $225.97 | $78.81 |
| Rest of CaliforniaCalifornia | $225.97 | $78.81 |
| Riverside, CACalifornia | $227.72 | $80.56 |
| Sacramento, CACalifornia | $236.90 | $80.74 |
| Salinas, CACalifornia | $236.00 | $80.38 |
| San Diego, CACalifornia | $241.35 | $80.76 |
| Marin County, CACalifornia | $276.08 | $86.75 |
| San Francisco, CACalifornia | $275.89 | $86.57 |
| Santa Clara County, CACalifornia | $281.34 | $87.72 |
| San Luis Obispo, CACalifornia | $232.22 | $79.28 |
| Santa Cruz, CACalifornia | $243.51 | $80.37 |
| Santa Maria, CACalifornia | $236.83 | $80.27 |
| Santa Rosa, CACalifornia | $245.96 | $81.08 |
| Stockton, CACalifornia | $225.97 | $78.81 |
| Vallejo, CACalifornia | $260.70 | $83.73 |
| Visalia, CACalifornia | $225.97 | $78.81 |
| Yuba City, CACalifornia | $225.97 | $78.81 |
| Washington, DC areaDistrict of Columbia | $243.29 | $85.12 |
| Miami, FLFlorida | $227.56 | $87.78 |
| Chicago, ILIllinois | $221.52 | $86.58 |
| Manhattan, NYNew York | $244.12 | $88.10 |
| AlaskaAlaska | $251.87 | $108.87 |
| AlabamaAlabama | $192.95 | $75.46 |
| ArkansasArkansas | $190.35 | $75.01 |
| ArizonaArizona | $208.16 | $78.05 |
| ColoradoColorado | $222.31 | $79.45 |
| ConnecticutConnecticut | $227.00 | $82.39 |
| DelawareDelaware | $211.46 | $78.80 |
| Fort Lauderdale, FLFlorida | $219.64 | $83.62 |
| Rest of FloridaFlorida | $209.73 | $81.36 |
| Atlanta, GAGeorgia | $217.02 | $80.60 |
| Rest of GeorgiaGeorgia | $198.77 | $79.00 |
| Hawaii, Guam, HIHawaii | $231.09 | $78.42 |
| IowaIowa | $197.86 | $75.00 |
| IdahoIdaho | $198.99 | $75.46 |
| East St. Louis, ILIllinois | $207.23 | $83.70 |
| Rest of IllinoisIllinois | $203.80 | $81.21 |
| Suburban Chicago, ILIllinois | $221.92 | $84.02 |
| IndianaIndiana | $200.08 | $75.61 |
| KansasKansas | $196.83 | $75.45 |
| KentuckyKentucky | $196.85 | $77.48 |
| New Orleans, LALouisiana | $205.59 | $79.24 |
| Rest of LouisianaLouisiana | $196.50 | $77.67 |
| Metropolitan Boston, MAMassachusetts | $243.61 | $83.29 |
| Rest of MassachusettsMassachusetts | $221.05 | $79.66 |
| Baltimore area, MDMaryland | $226.31 | $82.24 |
| Rest of MarylandMaryland | $215.36 | $79.48 |
| Rest of MaineMaine | $199.79 | $76.26 |
| Southern Maine, MEMaine | $210.15 | $77.09 |
| Detroit, MIMichigan | $212.01 | $82.44 |
| Rest of MichiganMichigan | $201.48 | $78.89 |
| MinnesotaMinnesota | $213.88 | $75.72 |
| Metropolitan Kansas City, MOMissouri | $204.45 | $78.36 |
| Metropolitan St. Louis, MOMissouri | $206.47 | $78.64 |
| Rest of MissouriMissouri | $193.24 | $77.50 |
| MississippiMississippi | $191.84 | $76.23 |
| MontanaMontana | $213.42 | $79.15 |
| North CarolinaNorth Carolina | $201.77 | $76.49 |
| North DakotaNorth Dakota | $210.26 | $75.99 |
| NebraskaNebraska | $198.92 | $74.99 |
| New HampshireNew Hampshire | $218.72 | $78.94 |
| Northern New JerseyNew Jersey | $241.00 | $85.24 |
| Rest of New JerseyNew Jersey | $229.83 | $83.20 |
| New MexicoNew Mexico | $202.45 | $79.32 |
| NevadaNevada | $212.68 | $78.28 |
| NYC suburbs and Long Island, NYNew York | $249.49 | $89.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $231.18 | $84.16 |
| Queens, NYNew York | $246.26 | $87.55 |
| Rest of New YorkNew York | $204.58 | $77.02 |
| OhioOhio | $200.83 | $78.24 |
| OklahomaOklahoma | $196.69 | $76.79 |
| Portland, OROregon | $229.20 | $80.02 |
| Rest of OregonOregon | $211.26 | $77.53 |
| Metropolitan Philadelphia, PAPennsylvania | $221.55 | $81.77 |
| Rest of PennsylvaniaPennsylvania | $201.22 | $77.96 |
| Puerto RicoPuerto Rico | $214.95 | $79.20 |
| Rhode IslandRhode Island | $218.84 | $80.14 |
| South CarolinaSouth Carolina | $201.59 | $77.52 |
| South DakotaSouth Dakota | $209.88 | $75.61 |
| TennesseeTennessee | $197.74 | $75.68 |
| Austin, TXTexas | $221.38 | $79.32 |
| Beaumont, TXTexas | $199.98 | $77.79 |
| Brazoria, TXTexas | $211.45 | $78.39 |
| Dallas, TXTexas | $212.66 | $78.92 |
| Fort Worth, TXTexas | $211.27 | $78.88 |
| Galveston, TXTexas | $212.00 | $78.67 |
| Houston, TXTexas | $214.93 | $81.59 |
| Rest of TexasTexas | $205.50 | $78.08 |
| UtahUtah | $204.17 | $77.95 |
| VirginiaVirginia | $209.39 | $77.40 |
| Virgin Islands, VIUnited States Virgin Islands | $214.95 | $79.20 |
| VermontVermont | $209.34 | $76.41 |
| Rest of WashingtonWashington | $220.67 | $79.28 |
| King County, WAWashington | $248.58 | $83.82 |
| WisconsinWisconsin | $203.63 | $75.00 |
| West VirginiaWest Virginia | $196.70 | $80.02 |
| WyomingWyoming | $212.04 | $77.77 |
36555 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.
$190.35
$254.02
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 | $251.87 | 1 |
| AL | $192.95 | 1 |
| AR | $190.35 | 1 |
| AZ | $208.16 | 1 |
| CA | $225.97–$282.08 | 29 |
| CO | $222.31 | 1 |
| CT | $227.00 | 1 |
| DC | $243.29 | 1 |
| DE | $211.46 | 1 |
| FL | $209.73–$227.56 | 3 |
| GA | $198.77–$217.02 | 2 |
| GU | $231.09 | 1 |
| HI | $231.09 | 1 |
| IA | $197.86 | 1 |
| ID | $198.99 | 1 |
| IL | $203.80–$221.92 | 4 |
| IN | $200.08 | 1 |
| KS | $196.83 | 1 |
| KY | $196.85 | 1 |
| LA | $196.50–$205.59 | 2 |
| MA | $221.05–$243.61 | 2 |
| MD | $215.36–$243.29 | 3 |
| ME | $199.79–$210.15 | 2 |
| MI | $201.48–$212.01 | 2 |
| MN | $213.88 | 1 |
| MO | $193.24–$206.47 | 3 |
| MS | $191.84 | 1 |
| MT | $213.42 | 1 |
| NC | $201.77 | 1 |
| ND | $210.26 | 1 |
| NE | $198.92 | 1 |
| NH | $218.72 | 1 |
| NJ | $229.83–$241.00 | 2 |
| NM | $202.45 | 1 |
| NV | $212.68 | 1 |
| NY | $204.58–$249.49 | 5 |
| OH | $200.83 | 1 |
| OK | $196.69 | 1 |
| OR | $211.26–$229.20 | 2 |
| PA | $201.22–$221.55 | 2 |
| PR | $214.95 | 1 |
| RI | $218.84 | 1 |
| SC | $201.59 | 1 |
| SD | $209.88 | 1 |
| TN | $197.74 | 1 |
| TX | $199.98–$221.38 | 8 |
| UT | $204.17 | 1 |
| VA | $209.39–$243.29 | 2 |
| VI | $214.95 | 1 |
| VT | $209.34 | 1 |
| WA | $220.67–$248.58 | 2 |
| WI | $203.63 | 1 |
| WV | $196.70 | 1 |
| WY | $212.04 | 1 |
How the 36555 rate is calculated
Each of 36555’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 · 36555
RVUs × geographic indexes × conversion factor
Work1.88
1.88 RVUs× 1.000 GPCI
Practice expense4.35
4.35 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
6.3900
Conversion factor
$33.4009
Medicare rate
$213.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact San Benito County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,504
- Code
- 36555
- Physician work
- 1.88
- Practice expense
- 4.35
- Malpractice
- 0.16
GPCI2026.csv
26
- Locality
- San Benito County, CA
- Physician work
- 1.110
- Practice expense
- 1.442
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.88 | × 1.110 | 2.0868 |
| Practice expense | 4.35 | × 1.442 | 6.2727 |
| Malpractice | 0.16 | × 0.536 | 0.0858 |
| Total RVUs | 8.4453 | ||
| Conversion factor | × 33.4009 | ||
Office rate, San Benito County, CA$282.08
Office: (1.88 × 1.11 + 4.35 × 1.442 + 0.16 × 0.536) × $33.4009 = $282.08
Facility: (1.88 × 1.11 + 0.33 × 1.442 + 0.16 × 0.536) × $33.4009 = $88.46
Payment rules and modifiers for 36555
The CMS indicators that decide how 36555 is paid alongside other services.
CMS payment indicators · 36555
Central line insertion, under age 5
| 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 | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
How 36555 has changed in San Benito County, CA
36555 · Office / nonfacility
$282.08
Effective 2026-10-01
The base rate is $51.76 higher than on 2025-10-01, moving from $230.32 to $282.08 (22.5%).
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
$230.32changed to$282.08
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.93 changed to 1.88
- Practice expense RVU 3.42 changed to 4.35
- Work GPCI 1.100 changed to 1.110
- Practice expense GPCI 1.435 changed to 1.442
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$241.32changed to$230.32
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.51 changed to 3.42
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$237.38changed to$241.32
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$246.08changed to$237.38
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.58 changed to 3.51
- Malpractice RVU 0.17 changed to 0.16
- Work GPCI 1.098 changed to 1.100
- Practice expense GPCI 1.409 changed to 1.435
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$250.93changed to$246.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.64 changed to 3.58
- Work GPCI 1.096 changed to 1.098
- Practice expense GPCI 1.383 changed to 1.409
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$247.83changed to$250.93
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.70 changed to 3.64
- Malpractice RVU 0.15 changed to 0.17
- Work GPCI 1.084 changed to 1.096
- Practice expense GPCI 1.330 changed to 1.383
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$228.75changed to$247.83
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.27 changed to 3.70
- Work GPCI 1.072 changed to 1.084
- Practice expense GPCI 1.279 changed to 1.330
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$218.40changed to$228.75
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.25 changed to 3.27
- Work GPCI 1.052 changed to 1.072
- Practice expense GPCI 1.214 changed to 1.279
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$209.38changed to$218.40
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.19 changed to 3.25
- Work GPCI 1.041 changed to 1.052
- Practice expense GPCI 1.167 changed to 1.214
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$223.21changed to$209.38
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 2.43 changed to 1.93
- Practice expense RVU 3.21 changed to 3.19
- Malpractice RVU 0.19 changed to 0.15
- Work GPCI 1.031 changed to 1.041
- Practice expense GPCI 1.121 changed to 1.167
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$223.21
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $282.08 | $88.46 | RVU26D |
| 2026-07-01 | $282.08 | $88.46 | RVU26C |
| 2026-04-01 | $282.08 | $88.46 | RVU26B |
| 2026-01-01 | $282.08 | $88.46 | RVU26A |
| 2025-10-01 | $230.32 | $90.14 | RVU25D |
| 2025-07-01 | $230.32 | $90.14 | RVU25C |
| 2025-04-01 | $230.32 | $90.14 | RVU25B |
| 2025-01-01 | $230.32 | $90.14 | RVU25A |
| 2024-10-01 | $241.32 | $92.28 | RVU24D |
| 2024-07-01 | $241.32 | $92.28 | RVU24C |
| 2024-04-01 | $241.32 | $92.28 | RVU24B |
| 2024-03-09 | $241.32 | $92.28 | RVU24AR |
| 2024-01-01 | $237.38 | $90.78 | RVU24A |
| 2023-10-01 | $246.08 | $93.77 | RVU23D |
| 2023-07-01 | $246.08 | $93.77 | RVU23C |
| 2023-04-01 | $246.08 | $93.77 | RVU23B |
| 2023-01-01 | $246.08 | $93.77 | RVU23A |
| 2022-10-01 | $250.93 | $94.90 | RVU22D |
| 2022-07-01 | $250.93 | $94.90 | RVU22C |
| 2022-04-01 | $250.93 | $94.90 | RVU22B |
| 2022-01-01 | $250.93 | $94.90 | RVU22A |
| 2021-10-01 | $247.83 | $93.30 | RVU21D |
| 2021-07-01 | $247.83 | $93.30 | RVU21C |
| 2021-04-01 | $247.83 | $93.30 | RVU21B |
| 2021-01-01 | $247.83 | $93.30 | RVU21A |
| 2020-10-01 | $228.75 | $94.42 | RVU20D |
| 2020-07-01 | $228.75 | $94.42 | RVU20C |
| 2020-04-01 | $228.75 | $94.42 | RVU20B |
| 2020-01-01 | $228.75 | $94.42 | RVU20A |
| 2019-10-01 | $218.40 | $92.84 | RVU19D |
| 2019-07-01 | $218.40 | $92.84 | RVU19C |
| 2019-04-01 | $218.40 | $92.84 | RVU19B |
| 2019-01-01 | $218.40 | $92.84 | RVU19A |
| 2018-10-01 | $209.38 | $92.59 | RVU18D |
| 2018-07-01 | $209.38 | $92.59 | RVU18C |
| 2018-04-01 | $209.38 | $92.59 | RVU18B |
| 2018-01-01 | $209.38 | $92.59 | RVU18AR1 |
| 2017-10-01 | $223.21 | $112.18 | RVU17D |
| 2017-07-01 | $223.21 | $112.18 | RVU17C |
| 2017-04-01 | $223.21 | $112.18 | RVU17B |
| 2017-01-01 | $223.21 | $112.18 | 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 San Benito County, CA rate applies
San Benito County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 5 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- 36555 in Aromas · multiple payment areas
- Hollister
- Ridgemark
- San Juan Bautista
- Tres Pinos
36555 billing questions
When should 36555 be used instead of 36556?
Use 36555 for a non-tunneled, centrally inserted central venous catheter in a patient younger than five. Code 36556 is the corresponding age-five-and-older code.
How is this different from a tunneled catheter insertion?
The catheter reported with 36555 is not tunneled beneath the skin. A tunneled central catheter in a child younger than five is reported with 36557.
Is a PICC reported with 36555?
No. A peripherally inserted central catheter is classified separately; 36568 is the PICC insertion code for a patient younger than five.
What documentation supports reporting 36555?
Document the patient’s age, the need for central venous access, the non-tunneled catheter, the insertion, and the access route.
Can an assistant or co-surgeon be reported for this service?
Medicare does not pay an assistant-at-surgery service for 36555. Co-surgeon and team-surgery reporting are not permitted.
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
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