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Extra Needle Access Into A Dialysis Circuit

California rates for HCPCS 36148

An additional needle or catheter is placed into a dialysis access — the surgically created connection between an artery and a vein used for hemodialysis — so that treatment can be carried out from a second entry point. It is billed in addition to the main access procedure.

Rates data updated October 2026.

How much does Extra Needle Access Into A Dialysis Circuit cost?

$1,202

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,096 to $1,202.

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 $5,012 · 10th to 90th $2,512 to $10,000Professionalmedian $1,096 · 10th to 90th $1,096 to $1,202
$500$1K$2K$5K$10K$20Kfacility $5,012professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$5,011.87
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$97.72
Typical High
$562.34

Where California sits

The same service costs 39.8 times more in Massachusetts than in South Carolina. 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· 2nd of 37

$1,202

MA $1,202SC $30.20

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.