CPT code 36907: Dialysis angioplasty2026 Medicare rate & RVUs in Modesto
Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention.
In Modesto, Medicare pays $617.89 for 36907 in the office and $123.69 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36907 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 36907 covers
This add-on describes balloon dilation of a narrowed central portion of a hemodialysis access circuit. It is commonly performed by an interventional radiologist, vascular surgeon, or other qualified physician during fistulography or a related access intervention. A typical clinical situation is central venous narrowing associated with arm swelling, difficult dialysis access, or elevated venous pressures. Imaging used to guide and assess the angioplasty is part of the intervention.
Report 36907 with an eligible primary dialysis-circuit procedure, such as 36901–36906; it is not reported by itself. The primary code reflects the other work performed in the circuit, while this add-on identifies central-segment angioplasty. Documentation should establish the treated central lesion and the balloon treatment performed. CMS treats this as an add-on paid within the primary procedure’s global period, rather than as a separate primary procedure.
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 Modesto compares for 36907
Across 109 of 109 payment localities, the office rate for 36907 runs from $505.56 in Arkansas to $788.09 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Modesto pays $617.89. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Modesto · this page$617.89
- Bakersfield · California$619.18+$1.29
- Chico · California$617.89
- El Centro · California$617.97+$0.08
- Fresno · California$617.89
- Hanford-Corcoran · California$617.89
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$662.67+$44.78
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | $617.89 | $123.69 |
| MercedCalifornia | $617.89 | $123.69 |
| NapaCalifornia | $725.34 | $131.04 |
| Oxnard-Thousand Oaks-VenturaCalifornia | $660.32 | $127.34 |
| ReddingCalifornia | $617.89 | $123.69 |
| Rest Of CaliforniaCalifornia | $617.89 | $123.69 |
| Riverside-San Bernardino-OntarioCalifornia | $622.75 | $128.55 |
| Sacramento-Roseville-FolsomCalifornia | $650.95 | $126.54 |
| SalinasCalifornia | $648.60 | $125.99 |
| San Diego-Chula Vista-CarlsbadCalifornia | $665.81 | $126.52 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $770.57 | $134.78 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $770.06 | $134.27 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $788.09 | $137.88 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $786.00 | $135.79 |
| San Luis Obispo-Paso RoblesCalifornia | $637.91 | $124.32 |
| Santa Cruz-WatsonvilleCalifornia | $673.69 | $125.83 |
| Santa Maria-Santa BarbaraCalifornia | $651.56 | $125.80 |
| Santa Rosa-PetalumaCalifornia | $680.62 | $126.90 |
| StocktonCalifornia | $617.89 | $123.69 |
| VallejoCalifornia | $724.60 | $130.30 |
| VisaliaCalifornia | $617.89 | $123.69 |
| Yuba CityCalifornia | $617.89 | $123.69 |
| Dc + Md/Va SuburbsDistrict of Columbia | $668.37 | $137.19 |
| MiamiFlorida | $620.58 | $151.18 |
| ChicagoIllinois | $600.98 | $147.81 |
| ManhattanNew York | $669.00 | $145.04 |
| Alaska*Alaska | $650.95 | $170.73 |
| AlabamaAlabama | $513.78 | $119.23 |
| ArkansasArkansas | $505.56 | $118.23 |
| ArizonaArizona | $561.91 | $124.97 |
| ColoradoColorado | $606.19 | $126.41 |
| ConnecticutConnecticut | $619.47 | $133.84 |
| DelawareDelaware | $571.89 | $126.39 |
| Fort LauderdaleFlorida | $596.70 | $139.93 |
| Rest Of FloridaFlorida | $565.58 | $134.51 |
| AtlantaGeorgia | $589.27 | $131.14 |
| Rest Of GeorgiaGeorgia | $531.10 | $128.89 |
| Hawaii, GuamHawaii | $635.96 | $123.28 |
| IowaIowa | $529.86 | $117.28 |
| IdahoIdaho | $533.33 | $118.49 |
| East St. LouisIllinois | $556.50 | $141.66 |
| Rest Of IllinoisIllinois | $546.46 | $134.77 |
| Suburban ChicagoIllinois | $603.36 | $140.28 |
| IndianaIndiana | $536.79 | $118.79 |
| KansasKansas | $526.35 | $118.73 |
| KentuckyKentucky | $525.54 | $124.68 |
| New OrleansLouisiana | $553.08 | $128.77 |
| Rest Of LouisianaLouisiana | $524.33 | $125.27 |
| Metropolitan BostonMassachusetts | $671.19 | $132.80 |
| Rest Of MassachusettsMassachusetts | $601.70 | $126.89 |
| Baltimore/Surr. CntysMaryland | $617.62 | $133.79 |
| Rest Of MarylandMaryland | $583.84 | $127.51 |
| Rest Of MaineMaine | $535.57 | $120.73 |
| Southern MaineMaine | $568.77 | $121.91 |
| DetroitMichigan | $572.52 | $137.39 |
| Rest Of MichiganMichigan | $539.93 | $128.25 |
| MinnesotaMinnesota | $581.42 | $117.44 |
| Metropolitan Kansas CityMissouri | $549.76 | $126.35 |
| Metropolitan St. LouisMissouri | $556.18 | $126.92 |
| Rest Of MissouriMissouri | $513.86 | $125.17 |
| MississippiMississippi | $509.86 | $121.63 |
| Montana**Montana | $578.47 | $127.56 |
| North CarolinaNorth Carolina | $541.88 | $121.18 |
| North Dakota**North Dakota | $569.58 | $118.66 |
| NebraskaNebraska | $533.30 | $117.11 |
| New HampshireNew Hampshire | $595.71 | $126.32 |
| Northern NjNew Jersey | $660.19 | $137.13 |
| Rest Of New JerseyNew Jersey | $626.71 | $134.32 |
| New MexicoNew Mexico | $542.88 | $129.39 |
| Nevada**Nevada | $576.46 | $125.10 |
| Nyc Suburbs/Long IslandNew York | $685.65 | $149.51 |
| Poughkpsie/N Nyc SuburbsNew York | $630.30 | $136.55 |
| QueensNew York | $676.15 | $143.17 |
| Rest Of New YorkNew York | $550.76 | $122.39 |
| OhioOhio | $538.12 | $126.43 |
| OklahomaOklahoma | $525.33 | $122.67 |
| PortlandOregon | $627.90 | $126.94 |
| Rest Of OregonOregon | $572.18 | $123.07 |
| Metropolitan PhiladelphiaPennsylvania | $602.26 | $132.86 |
| Rest Of PennsylvaniaPennsylvania | $539.50 | $125.56 |
| Puerto RicoPuerto Rico | $583.40 | $127.53 |
| Rhode IslandRhode Island | $594.10 | $128.31 |
| South CarolinaSouth Carolina | $540.86 | $124.22 |
| South Dakota**South Dakota | $568.52 | $117.61 |
| TennesseeTennessee | $529.17 | $119.29 |
| AustinTexas | $603.99 | $126.93 |
| BeaumontTexas | $535.53 | $125.20 |
| BrazoriaTexas | $571.79 | $124.94 |
| DallasTexas | $575.39 | $126.28 |
| Fort WorthTexas | $570.93 | $126.33 |
| GalvestonTexas | $573.44 | $125.69 |
| HoustonTexas | $581.68 | $133.92 |
| Rest Of TexasTexas | $553.30 | $125.38 |
| UtahUtah | $549.03 | $125.18 |
| VirginiaVirginia | $566.17 | $122.92 |
| Virgin IslandsUnited States Virgin Islands | $583.40 | $127.53 |
| VermontVermont | $566.42 | $120.02 |
| Rest Of WashingtonWashington | $600.86 | $126.05 |
| Seattle (King Cnty)Washington | $686.34 | $133.07 |
| WisconsinWisconsin | $548.55 | $116.57 |
| West VirginiaWest Virginia | $523.99 | $132.14 |
| Wyoming**Wyoming | $574.60 | $123.68 |
36907 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.
$505.56
$702.99
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 | $650.95 | 1 |
| AL | $513.78 | 1 |
| AR | $505.56 | 1 |
| AZ | $561.91 | 1 |
| CA | $617.89–$788.09 | 29 |
| CO | $606.19 | 1 |
| CT | $619.47 | 1 |
| DC | $668.37 | 1 |
| DE | $571.89 | 1 |
| FL | $565.58–$620.58 | 3 |
| GA | $531.10–$589.27 | 2 |
| GU | $635.96 | 1 |
| HI | $635.96 | 1 |
| IA | $529.86 | 1 |
| ID | $533.33 | 1 |
| IL | $546.46–$603.36 | 4 |
| IN | $536.79 | 1 |
| KS | $526.35 | 1 |
| KY | $525.54 | 1 |
| LA | $524.33–$553.08 | 2 |
| MA | $601.70–$671.19 | 2 |
| MD | $583.84–$668.37 | 3 |
| ME | $535.57–$568.77 | 2 |
| MI | $539.93–$572.52 | 2 |
| MN | $581.42 | 1 |
| MO | $513.86–$556.18 | 3 |
| MS | $509.86 | 1 |
| MT | $578.47 | 1 |
| NC | $541.88 | 1 |
| ND | $569.58 | 1 |
| NE | $533.30 | 1 |
| NH | $595.71 | 1 |
| NJ | $626.71–$660.19 | 2 |
| NM | $542.88 | 1 |
| NV | $576.46 | 1 |
| NY | $550.76–$685.65 | 5 |
| OH | $538.12 | 1 |
| OK | $525.33 | 1 |
| OR | $572.18–$627.90 | 2 |
| PA | $539.50–$602.26 | 2 |
| PR | $583.40 | 1 |
| RI | $594.10 | 1 |
| SC | $540.86 | 1 |
| SD | $568.52 | 1 |
| TN | $529.17 | 1 |
| TX | $535.53–$603.99 | 8 |
| UT | $549.03 | 1 |
| VA | $566.17–$668.37 | 2 |
| VI | $583.40 | 1 |
| VT | $566.42 | 1 |
| WA | $600.86–$686.34 | 2 |
| WI | $548.55 | 1 |
| WV | $523.99 | 1 |
| WY | $574.60 | 1 |
How the 36907 rate is calculated
Each of 36907’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 · 36907
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense13.94
13.94 RVUs× 1.000 GPCI
Malpractice0.45
0.45 RVUs× 1.000 GPCI
Adjusted RVUs
17.3200
Conversion factor
$33.4009
Medicare rate
$578.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Modesto inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,568
- Code
- 36907
- Physician work
- 2.93
- Practice expense
- 13.94
- Malpractice
- 0.45
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.017 | 2.9798 |
| Practice expense | 13.94 | × 1.096 | 15.2782 |
| Malpractice | 0.45 | × 0.536 | 0.2412 |
| Total RVUs | 18.4992 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Modesto$617.89
Office: (2.93 × 1.017 + 13.94 × 1.096 + 0.45 × 0.536) × $33.4009 = $617.89
Facility: (2.93 × 1.017 + 0.44 × 1.096 + 0.45 × 0.536) × $33.4009 = $123.69
Payment rules and modifiers for 36907
The CMS indicators that decide how 36907 is paid alongside other services.
CMS payment indicators · 36907
Dialysis angioplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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 36907 has changed in Modesto
36907 · Office / nonfacility
$617.89
Effective 2026-10-01
The base rate is $38.10 higher than on 2025-10-01, moving from $579.79 to $617.89 (6.6%).
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
$579.79changed to$617.89
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.00 changed to 2.93
- Practice expense RVU 13.37 changed to 13.94
- Malpractice RVU 0.48 changed to 0.45
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$614.65changed to$579.79
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 13.88 changed to 13.37
- Malpractice RVU 0.45 changed to 0.48
Held through RVU25B, RVU25C, RVU25D.
October 1, 2024
RVU24D
$661.87changed to$614.65
- Conversion factor 34.6062 changed to 33.2875
- Practice expense RVU 14.83 changed to 13.88
- Malpractice RVU 0.42 changed to 0.45
- Work GPCI 1.027 changed to 1.014
- Practice expense GPCI 1.065 changed to 1.093
- Malpractice GPCI 0.597 changed to 0.560
July 1, 2022
RVU22C
$723.68changed to$661.87
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 16.34 changed to 14.83
- Malpractice RVU 0.43 changed to 0.42
January 1, 2021
RVU21A
$746.96changed to$723.68
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 16.25 changed to 16.34
- Malpractice RVU 0.41 changed to 0.43
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B.
January 1, 2020
RVU20A
$777.18changed to$746.96
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 17.01 changed to 16.25
- Malpractice RVU 0.42 changed to 0.41
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$813.26changed to$777.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 17.96 changed to 17.01
- Malpractice RVU 0.43 changed to 0.42
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$785.53changed to$813.26
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 2.48 changed to 3.00
- Practice expense RVU 17.70 changed to 17.96
- Malpractice RVU 0.41 changed to 0.43
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$785.53
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 | $617.89 | $123.69 | RVU26D |
| 2026-07-01 | $617.89 | $123.69 | RVU26C |
| 2026-04-01 | $617.89 | $123.69 | RVU26B |
| 2026-01-01 | $617.89 | $123.69 | RVU26A |
| 2025-10-01 | $579.79 | $136.08 | RVU25D |
| 2025-07-01 | $579.79 | $136.08 | RVU25C |
| 2025-04-01 | $579.79 | $136.08 | RVU25B |
| 2025-01-01 | $579.79 | $136.08 | RVU25A |
| 2024-10-01 | $614.65 | $138.76 | RVU24D |
| 2022-07-01 | $661.87 | $145.89 | RVU22C |
| 2021-04-01 | $723.68 | $147.31 | RVU21B |
| 2021-01-01 | $723.68 | $147.31 | RVU21A |
| 2020-10-01 | $746.96 | $151.89 | RVU20D |
| 2020-07-01 | $746.96 | $151.89 | RVU20C |
| 2020-04-01 | $746.96 | $151.89 | RVU20B |
| 2020-01-01 | $746.96 | $151.89 | RVU20A |
| 2019-10-01 | $777.18 | $151.30 | RVU19D |
| 2019-07-01 | $777.18 | $151.30 | RVU19C |
| 2019-04-01 | $777.18 | $151.30 | RVU19B |
| 2019-01-01 | $777.18 | $151.30 | RVU19A |
| 2018-10-01 | $813.26 | $151.72 | RVU18D |
| 2018-07-01 | $813.26 | $151.72 | RVU18C |
| 2018-04-01 | $813.26 | $151.72 | RVU18B |
| 2018-01-01 | $813.26 | $151.72 | RVU18AR1 |
| 2017-10-01 | $785.53 | $128.00 | RVU17D |
| 2017-07-01 | $785.53 | $128.00 | RVU17C |
| 2017-04-01 | $785.53 | $128.00 | RVU17B |
| 2017-01-01 | $785.53 | $128.00 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Modesto rate applies
Modesto is a Medicare payment area, not a city. Our Census mapping connects it to 33 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
36907 billing questions
When is 36907 reported with 36902?
Report both when the session includes the service represented by 36902 and balloon angioplasty in the central dialysis segment. The 36902 service addresses angioplasty in the peripheral segment; 36907 identifies central-segment angioplasty.
Can 36907 be billed without a primary code?
No. It is an add-on and must be reported with an eligible primary dialysis-circuit procedure, such as a code from 36901–36906.
Is 36907 reported for each central lesion or balloon inflation?
Report the add-on for the central-segment angioplasty service, not separately for each balloon inflation. The record should identify the treated lesion and the intervention performed.
Can 36907 be reported when a central stent is placed?
When central-segment stent placement is performed, compare 36908, which represents that stent service. Do not separately use 36907 to describe angioplasty that is part of the stent treatment.
How does the global-period rule affect 36907?
CMS classifies 36907 as an add-on paid within the primary procedure’s global period. It is reported with the primary service, not as a stand-alone procedure.
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
Put 36907 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →