No office rate
Both codes concern cannula insertion, but their full descriptors distinguish the services. Verify the documented procedure against each descriptor rather than selecting by the shared short description.
On this page
CMS RVU26D · Effective 2026-10-01
36800 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$106.62
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular surgery
About 36800: Surgical hemodialysis cannula insertion
Reports surgical insertion of a cannula for hemodialysis access when the service is cannula placement rather than creation or revision of an arteriovenous access.
This service involves surgically placing a cannula to provide vascular access for hemodialysis or another extracorporeal purpose. It is performed by a surgeon, commonly a vascular surgeon, in an operating room or other facility setting. The operative note should identify the vessels accessed, the cannula placement, and the purpose of the access so the service can be distinguished from construction of an arteriovenous fistula or graft.
Report the code for the cannula insertion itself, not for creating or revising a fistula or graft. Medicare 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. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36800
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.37 · 74%
- Practice expense (office) RVU0.58 · 18%
- Malpractice RVU0.27 · 8%
5.8K
Medicare services in 2024 · #1780 by national volume
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.
36800 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
This is another cannula-insertion code with a distinct descriptor. Choose based on the actual cannula service documented, not simply the fact that dialysis access was involved.
No office rate
Use 36821 for direct creation of an arteriovenous fistula. Use 36800 when the documented service is insertion of a cannula, not fistula construction.
No office rate
Code 36825 describes creation of arteriovenous access with an autogenous graft; 36800 describes cannula insertion.
The same code, a different location
How does El Centro compare?
36800 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 36800
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Modesto
California · 36800
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Napa
California · 36800
Office
Unavailable
Facility
$114.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 36800
Office
Unavailable
Facility
$109.89
No comparable office rate is available.
Redding
California · 36800
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Rest Of California
California · 36800
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 36800
Office
Unavailable
Facility
$109.51
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 36800
Office
Unavailable
Facility
$109.37
No comparable office rate is available.
Salinas
California · 36800
Office
Unavailable
Facility
$108.90
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 36800
Office
Unavailable
Facility
$109.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 36800
Office
Unavailable
Facility
$118.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 36800
Office
Unavailable
Facility
$117.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 36800
Office
Unavailable
Facility
$120.64
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 36800
Office
Unavailable
Facility
$119.38
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 36800
Office
Unavailable
Facility
$107.40
No comparable office rate is available.
Santa Cruz-Watsonville
California · 36800
Office
Unavailable
Facility
$109.19
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 36800
Office
Unavailable
Facility
$108.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 36800
Office
Unavailable
Facility
$110.16
No comparable office rate is available.
Stockton
California · 36800
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Vallejo
California · 36800
Office
Unavailable
Facility
$113.82
No comparable office rate is available.
Visalia
California · 36800
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Yuba City
California · 36800
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 36800
Office
Unavailable
Facility
$116.29
No comparable office rate is available.
Miami
Florida · 36800
Office
Unavailable
Facility
$122.13
No comparable office rate is available.
Chicago
Illinois · 36800
Office
Unavailable
Facility
$119.88
No comparable office rate is available.
Manhattan
New York · 36800
Office
Unavailable
Facility
$121.04
No comparable office rate is available.
Alaska*
Alaska · 36800
Office
Unavailable
Facility
$144.34
No comparable office rate is available.
Alabama
Alabama · 36800
Office
Unavailable
Facility
$101.22
No comparable office rate is available.
Arkansas
Arkansas · 36800
Office
Unavailable
Facility
$100.45
No comparable office rate is available.
Arizona
Arizona · 36800
Office
Unavailable
Facility
$105.65
No comparable office rate is available.
Colorado
Colorado · 36800
Office
Unavailable
Facility
$107.77
No comparable office rate is available.
Connecticut
Connecticut · 36800
Office
Unavailable
Facility
$112.52
No comparable office rate is available.
Delaware
Delaware · 36800
Office
Unavailable
Facility
$106.80
No comparable office rate is available.
Fort Lauderdale
Florida · 36800
Office
Unavailable
Facility
$115.09
No comparable office rate is available.
Rest Of Florida
Florida · 36800
Office
Unavailable
Facility
$111.23
No comparable office rate is available.
Atlanta
Georgia · 36800
Office
Unavailable
Facility
$109.91
No comparable office rate is available.
Rest Of Georgia
Georgia · 36800
Office
Unavailable
Facility
$107.19
No comparable office rate is available.
Hawaii, Guam
Hawaii · 36800
Office
Unavailable
Facility
$106.41
No comparable office rate is available.
Iowa
Iowa · 36800
Office
Unavailable
Facility
$100.47
No comparable office rate is available.
Idaho
Idaho · 36800
Office
Unavailable
Facility
$101.25
No comparable office rate is available.
East St. Louis
Illinois · 36800
Office
Unavailable
Facility
$115.15
No comparable office rate is available.
Rest Of Illinois
Illinois · 36800
Office
Unavailable
Facility
$110.94
No comparable office rate is available.
Suburban Chicago
Illinois · 36800
Office
Unavailable
Facility
$115.59
No comparable office rate is available.
Indiana
Indiana · 36800
Office
Unavailable
Facility
$101.50
No comparable office rate is available.
Kansas
Kansas · 36800
Office
Unavailable
Facility
$101.22
No comparable office rate is available.
Kentucky
Kentucky · 36800
Office
Unavailable
Facility
$104.63
No comparable office rate is available.
New Orleans
Louisiana · 36800
Office
Unavailable
Facility
$107.63
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 36800
Office
Unavailable
Facility
$104.94
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 36800
Office
Unavailable
Facility
$113.56
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 36800
Office
Unavailable
Facility
$108.01
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 36800
Office
Unavailable
Facility
$112.37
No comparable office rate is available.
Rest Of Maryland
Maryland · 36800
Office
Unavailable
Facility
$107.84
No comparable office rate is available.
Rest Of Maine
Maine · 36800
Office
Unavailable
Facility
$102.59
No comparable office rate is available.
Southern Maine
Maine · 36800
Office
Unavailable
Facility
$104.05
No comparable office rate is available.
Detroit
Michigan · 36800
Office
Unavailable
Facility
$113.06
No comparable office rate is available.
Rest Of Michigan
Michigan · 36800
Office
Unavailable
Facility
$107.03
No comparable office rate is available.
Minnesota
Minnesota · 36800
Office
Unavailable
Facility
$101.76
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 36800
Office
Unavailable
Facility
$106.16
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 36800
Office
Unavailable
Facility
$106.64
No comparable office rate is available.
Rest Of Missouri
Missouri · 36800
Office
Unavailable
Facility
$104.64
No comparable office rate is available.
Mississippi
Mississippi · 36800
Office
Unavailable
Facility
$102.50
No comparable office rate is available.
Montana**
Montana · 36800
Office
Unavailable
Facility
$107.53
No comparable office rate is available.
North Carolina
North Carolina · 36800
Office
Unavailable
Facility
$103.00
No comparable office rate is available.
North Dakota**
North Dakota · 36800
Office
Unavailable
Facility
$102.19
No comparable office rate is available.
Nebraska
Nebraska · 36800
Office
Unavailable
Facility
$100.45
No comparable office rate is available.
New Hampshire
New Hampshire · 36800
Office
Unavailable
Facility
$107.22
No comparable office rate is available.
Northern Nj
New Jersey · 36800
Office
Unavailable
Facility
$116.25
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 36800
Office
Unavailable
Facility
$113.37
No comparable office rate is available.
New Mexico
New Mexico · 36800
Office
Unavailable
Facility
$107.76
No comparable office rate is available.
Nevada**
Nevada · 36800
Office
Unavailable
Facility
$106.06
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 36800
Office
Unavailable
Facility
$124.01
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 36800
Office
Unavailable
Facility
$114.85
No comparable office rate is available.
Queens
New York · 36800
Office
Unavailable
Facility
$120.13
No comparable office rate is available.
Rest Of New York
New York · 36800
Office
Unavailable
Facility
$103.90
No comparable office rate is available.
Ohio
Ohio · 36800
Office
Unavailable
Facility
$105.94
No comparable office rate is available.
Oklahoma
Oklahoma · 36800
Office
Unavailable
Facility
$103.47
No comparable office rate is available.
Portland
Oregon · 36800
Office
Unavailable
Facility
$108.66
No comparable office rate is available.
Rest Of Oregon
Oregon · 36800
Office
Unavailable
Facility
$104.79
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 36800
Office
Unavailable
Facility
$111.51
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 36800
Office
Unavailable
Facility
$105.47
No comparable office rate is available.
Puerto Rico
Puerto Rico · 36800
Office
Unavailable
Facility
$107.63
No comparable office rate is available.
Rhode Island
Rhode Island · 36800
Office
Unavailable
Facility
$108.72
No comparable office rate is available.
South Carolina
South Carolina · 36800
Office
Unavailable
Facility
$104.73
No comparable office rate is available.
South Dakota**
South Dakota · 36800
Office
Unavailable
Facility
$101.56
No comparable office rate is available.
Tennessee
Tennessee · 36800
Office
Unavailable
Facility
$101.61
No comparable office rate is available.
Austin
Texas · 36800
Office
Unavailable
Facility
$107.80
No comparable office rate is available.
Beaumont
Texas · 36800
Office
Unavailable
Facility
$105.17
No comparable office rate is available.
Brazoria
Texas · 36800
Office
Unavailable
Facility
$106.03
No comparable office rate is available.
Dallas
Texas · 36800
Office
Unavailable
Facility
$106.91
No comparable office rate is available.
Fort Worth
Texas · 36800
Office
Unavailable
Facility
$106.83
No comparable office rate is available.
Galveston
Texas · 36800
Office
Unavailable
Facility
$106.50
No comparable office rate is available.
Houston
Texas · 36800
Office
Unavailable
Facility
$111.44
No comparable office rate is available.
Rest Of Texas
Texas · 36800
Office
Unavailable
Facility
$105.69
No comparable office rate is available.
Utah
Utah · 36800
Office
Unavailable
Facility
$105.47
No comparable office rate is available.
Virginia
Virginia · 36800
Office
Unavailable
Facility
$104.57
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 36800
Office
Unavailable
Facility
$107.63
No comparable office rate is available.
Vermont
Vermont · 36800
Office
Unavailable
Facility
$102.90
No comparable office rate is available.
Rest Of Washington
Washington · 36800
Office
Unavailable
Facility
$107.45
No comparable office rate is available.
Seattle (King Cnty)
Washington · 36800
Office
Unavailable
Facility
$114.26
No comparable office rate is available.
Wisconsin
Wisconsin · 36800
Office
Unavailable
Facility
$100.50
No comparable office rate is available.
West Virginia
West Virginia · 36800
Office
Unavailable
Facility
$108.90
No comparable office rate is available.
Wyoming**
Wyoming · 36800
Office
Unavailable
Facility
$105.21
No comparable office rate is available.
See how rates vary across the country
36800 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 36800 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$117.28
$106.62 × 110% = $117.28
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36800 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
4,543
- Code
- 36800
- Physician work
- 2.37
- Practice expense
- 0.58
- Malpractice
- 0.27
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.37 | × 1.017 | 2.4103 |
| Practice expense | 0.58 | × 1.096 | 0.6357 |
| Malpractice | 0.27 | × 0.541 | 0.1461 |
| Total RVUs | 3.1920 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$106.62
Open 36800 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1.017 |
| Practice expense | 0.58 | 1.096 |
| Malpractice | 0.27 | 0.541 |
(2.37 × 1.017 + 0.58 × 1.096 + 0.27 × 0.541) × $33.4009 = $106.62
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
36800 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $106.62 | RVU26D |
| 2026-07-01 | Not available in this setting | $106.62 | RVU26C |
| 2026-04-01 | Not available in this setting | $106.62 | RVU26B |
| 2026-01-01 | Not available in this setting | $106.62 | RVU26A |
| 2025-10-01 | Not available in this setting | $114.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $114.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $114.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $114.92 | RVU25A |
36800 billing questions
How is this different from an arteriovenous fistula code?
This code reports surgical cannula placement. Codes such as 36821 describe construction of an arteriovenous fistula, a different access procedure.
What documentation supports reporting this service?
Document the cannula placement, the vessels involved, and the clinical purpose of the access. The operative record should make clear that the service was cannula insertion rather than fistula or graft construction.
Can modifier 50 be reported for bilateral cannula insertion?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is an assistant surgeon payable?
No. Medicare's statutory restriction prevents assistant-at-surgery payment for this code. Co-surgeons and team surgery are also not permitted.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in that session are subject to the standard multiple-procedure reduction.
What care is included in the global period?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,54036640,,Insertion catheter artery,A,,2.05,0.83,NA,0.83,,0.14,3.02,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54136660,,Insertion catheter artery,A,,1.37,0.28,NA,0.28,,0.07,1.72,1.72,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54236680,,Insert needle bone cavity,A,,1.17,0.33,NA,0.33,,0.23,1.73,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54336800,,Insertion of cannula,A,,2.37,0.58,NA,0.58,,0.27,3.22,3.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54436810,,Insertion of cannula,A,,3.86,1.11,NA,1.11,,0.34,5.31,5.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54536815,,Insertion of cannula,A,,2.55,0.50,NA,0.50,,0.64,3.69,3.69,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54636818,,Av fuse uppr arm cephalic,A,,12.08,3.69,NA,3.69,,3.05,18.82,18.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664