Dialysis Access Puncture With X-ray Study

Nationwide rates for HCPCS 36147

A needle or catheter is placed directly into a dialysis access, the surgically made connection between an artery and a vein used for dialysis, and contrast is injected so the whole circuit can be X-rayed. It is done to find narrowing or clotting when the access is not working well.

Rates data updated July 2026.

How much does Dialysis Access Puncture With X-ray Study cost?

$1,318

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $1,318 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 24 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$1,349	$479 to $2,692
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,318	$417 to $3,236

How much rates vary

Facilitymedian $1,318 · 10th to 90th $257 to $9,550Professionalmedian $1,349 · 10th to 90th $324 to $3,548

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $2,454.71 Median $5,128.61 Typical High $10,000.00	Facility	Global	$2,454.71	$5,128.61	$10,000.00
BCBS Setting Professional Modifier Global Typical Low $831.76 Median $831.76 Typical High $1,023.29	Professional	Global	$831.76	$831.76	$1,023.29
Cigna Setting Facility Modifier Global Typical Low $812.83 Median $2,454.71 Typical High $6,760.83	Facility	Global	$812.83	$2,454.71	$6,760.83
Cigna Setting Professional Modifier Global Typical Low $363.08 Median $1,202.26 Typical High $3,467.37	Professional	Global	$363.08	$1,202.26	$3,467.37

What it costs in each state

The same service costs 28.2 times more in Kentucky than in Illinois. 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.

Touch or drag across the chart to see any state's rate.

KY $9,772IL $347

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.