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Dialysis Access Puncture With X-ray Study

California 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?

$3,802

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $3,802 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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,548$3,548 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,802$2,239 to $5,129

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,023 to $10,000Professionalmedian $3,548 · 10th to 90th $631 to $3,890
$100$200$500$1K$2K$5K$10Kfacility $3,802professional $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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$398.11
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,818.38
Typical High
$2,818.38
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,890.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$933.25
Typical High
$1,737.80

Where California sits

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.

California· 4th of 45

$3,802

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.