Cost analysis for CPT 36465 — Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
Average Medicare Payment
$1037.95
2023 data
Total Payments (2023)
$80.5M
Services (2023)
76.4K
Price Change (2018–2023)
-14.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2018 | $1208.23 | $12.4M | 9.9K | — |
| 2019 | $1219.68 | $31.9M | 25.5K | +0.9% |
| 2020 | $1228.75 | $38.4M | 30.6K | +0.7% |
| 2021 | $1228.95 | $62.7M | 49.9K | +0.0% |
| 2022 | $1106.10 | $67.9M | 60.7K | -10.0% |
| 2023 | $1037.95 | $80.5M | 76.4K | -6.2% |
The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $1237.84 vs MS at $806.70.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $1237.84 | $7.6M | 6.1K | 75 |
| DC | $1228.50 | $266.6K | 217 | 3 |
| NJ | $1200.83 | $4.6M | 3.8K | 43 |
| CA | $1161.90 | $10.8M | 9.3K | 100 |
| MD | $1154.88 | $2.6M | 2.3K | 36 |
| CT | $1119.69 | $1.2M | 1.1K | 18 |
| VA | $1100.30 | $1.4M | 1.3K | 17 |
| MA | $1092.87 | $244.8K | 224 | 9 |
| IL | $1050.85 | $3.3M | 3.1K | 46 |
| CO | $1048.55 | $2.2M | 2.1K | 22 |
| NV | $1040.29 | $1.6M | 1.6K | 10 |
| OR | $1038.31 | $208.7K | 201 | 7 |
| MN | $1030.47 | $274.1K | 266 | 6 |
| MI | $1028.26 | $1.6M | 1.5K | 28 |
| TX | $1020.20 | $7.6M | 7.5K | 106 |
| PA | $1018.54 | $1.3M | 1.3K | 20 |
| NE | $1010.08 | $164.6K | 163 | 4 |
| MT | $1008.42 | $166.4K | 165 | 2 |
| AZ | $1008.02 | $4.0M | 4.0K | 53 |
| WI | $1005.48 | $327.8K | 326 | 3 |
| FL | $1002.17 | $12.9M | 12.9K | 143 |
| GA | $991.64 | $1.3M | 1.3K | 25 |
| NM | $986.57 | $340.4K | 345 | 5 |
| KY | $976.76 | $311.6K | 319 | 5 |
| NC | $972.16 | $2.2M | 2.3K | 31 |
| UT | $952.85 | $232.5K | 244 | 6 |
| LA | $948.87 | $1.0M | 1.1K | 16 |
| IN | $942.62 | $1.9M | 2.0K | 18 |
| TN | $938.72 | $1.9M | 2.0K | 34 |
| OH | $935.98 | $1.7M | 1.8K | 19 |
| SC | $932.45 | $763.7K | 819 | 16 |
| MO | $932.29 | $874.5K | 938 | 12 |
| IA | $928.62 | $295.3K | 318 | 5 |
| AR | $914.26 | $1.2M | 1.3K | 8 |
| AL | $904.46 | $924.4K | 1.0K | 10 |
| KS | $889.92 | $315.0K | 354 | 5 |
| MS | $806.70 | $167.8K | 208 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Kenneth Goldman | General Surgery | NJ | $1.0M | 824 | $1223.89 |
| Salvador Borromeo | Cardiology | NV | $934.1K | 892 | $1047.21 |
| Rami Sartawi | Interventional Radiology | NY | $822.2K | 648 | $1268.84 |
| Sam Ebrahimi | Vascular Surgery | CA | $745.1K | 598 | $1246.04 |
| Vinod Kumar | Cardiology | CA | $652.2K | 571 | $1142.17 |
| Nazar Golewale | Diagnostic Radiology | IN | $638.3K | 676 | $944.22 |
| Steven Samuel | General Surgery | IN | $630.4K | 668 | $943.78 |
| Vahe Melkonyan | Vascular Surgery | CA | $624.3K | 512 | $1219.26 |
| Christopher Boyes | Vascular Surgery | FL | $581.5K | 551 | $1055.38 |
| John Chuback | Vascular Surgery | NJ | $547.8K | 445 | $1230.93 |
| Elliot Sambol | General Surgery | NJ | $520.7K | 423 | $1230.99 |
| Dominic Tolitano | Cardiac Surgery | IL | $497.0K | 506 | $982.28 |
| Ravi Sharma | Vascular Surgery | FL | $484.9K | 487 | $995.70 |
| Hadi Shalhoub | Vascular Surgery | FL | $481.2K | 473 | $1017.28 |
| Anjani Thakur | General Surgery | CA | $469.3K | 416 | $1128.03 |
| Dev Batra | Diagnostic Radiology | TX | $464.0K | 438 | $1059.37 |
| Gerard Vitale | Vascular Surgery | NY | $456.6K | 359 | $1271.83 |
| John Hogg | Diagnostic Radiology | TX | $451.0K | 456 | $988.94 |
| Sean Stewart | Emergency Medicine | MD | $437.9K | 387 | $1131.41 |
| Terrill Applewhite | Internal Medicine | IL | $437.4K | 430 | $1017.14 |
Based on the data, CPT 36465 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 14.1% since 2018. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.