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Dialysis Access Puncture With X-ray Study

Massachusetts 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?

$3,890

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $3,890 for this service. Most negotiated rates run $2,818 to $3,890.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $56 to $2,818Professionalmedian $3,890 · 10th to 90th $3,236 to $3,890
$100$200$500$1K$2Kfacility $2,818professional $3,890

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
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,818.38
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$4,168.69
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,818.38
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where Massachusetts 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.

Massachusetts· 3rd of 45

$3,890

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.