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Starting Vein-To-Vein ECMO Life Support

Virginia 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 July 2026.

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

$3,236

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $407 to $5,370.

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 $3,236 · 10th to 90th $355 to $8,913Professionalmedian $316 · 10th to 90th $269 to $708
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,236professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$354.81
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$645.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46

Where Virginia sits

The same service costs 33.1 times more in California than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $3,236 · 22nd of 49
CA $10,000ND $302

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.