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Starting Vein-To-Vein ECMO Life Support

Hawaii rates for HCPCS 33946

Covers the physician work of setting up and starting an external machine that draws blood from a vein, adds oxygen and removes carbon dioxide, then returns the blood to a vein. This form supports failing lungs while the patient's own heart continues to do the pumping. It covers getting the support running, not the day-to-day management afterwards.

Rates data updated October 2026.

How much does Starting Vein-To-Vein ECMO Life Support cost?

$407

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $355 to $479.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,148 to $2,818Professionalmedian $407 · 10th to 90th $295 to $501
$100$200$500$1K$2Kfacility $1,202professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$363.08
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
HMSA
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$478.63
Typical High
$549.54
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$213.80
Median
$239.88
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$323.59
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$446.68
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$407.38
Typical High
$407.38

Where Hawaii sits

The same service costs 4.0 times more in Wisconsin than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 41st of 51

$407

WI $1,288NY $324

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.