go back

Dialysis Access Puncture With X-ray Study

Texas 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?

$1,023

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $871 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$871$282 to $1,230

How much rates vary

Facilitymedian $871 · 10th to 90th $224 to $1,778Professionalmedian $3,548 · 10th to 90th $3,548 to $3,890
$100$200$500$1K$2Kfacility $871professional $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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$4,168.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$851.14
Typical High
$1,659.59
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$851.14
Typical High
$1,659.59

Where Texas 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.

Texas· 19th of 45

$1,023

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.