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Starting Vein-To-Vein ECMO Life Support

North Dakota 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?

$1,252

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $1,252 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $676 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$490 to $661
Facility feeThe hospital or surgery center$676$302 to $2,089

How much rates vary

Facilitymedian $676 · 10th to 90th $302 to $2,344Professionalmedian $575 · 10th to 90th $324 to $741
$100$200$500$1K$2K$5Kfacility $676professional $575

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
$302.00
Median
$302.00
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$380.19
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$616.60
Typical High
$758.58
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$588.84
Median
$741.31
Typical High
$912.01
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$346.74
Median
$426.58
Typical High
$524.81
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$371.54
Median
$457.09
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$616.60
Typical High
$870.96
Medica
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$758.58
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$562.34
Typical High
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$562.34
Typical High
$676.08

Where North Dakota sits

The same service costs 6.1 times more in Alaska than in Maryland. 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.

Physician feeFacility fee

North Dakota· 38th of 51

$1,252

$575 physician + $676 facility

AK $5,496MD $901

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.