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Dialysis Access Puncture With X-ray Study

Virginia 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?

$977

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $302 to $1,230.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $891 · 10th to 90th $234 to $1,585Professionalmedian $1,072 · 10th to 90th $776 to $1,585
$200$500$1K$2Kfacility $891professional $1,072

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$4,168.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$3,311.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$891.25
Typical High
$1,584.89

Where Virginia 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.

Virginia· 22nd of 45

$977

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.