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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 July 2026.

How much does Extra Needle Access Into A Dialysis Circuit 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 $1,096 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$1,096$1,096 to $1,202
FacilityA hospital or hospital-owned outpatient department$3,802$2,239 to $5,129

How much rates vary

Facilitymedian $3,802 · 10th to 90th $316 to $10,000Professionalmedian $1,096 · 10th to 90th $282 to $1,202
$100$200$500$1K$2K$5K$10Kfacility $3,802professional $1,096

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
$257.04
Median
$257.04
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$1,230.27
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
$489.78
Typical High
$489.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$288.40
Typical High
$549.54

Where California sits

The same service costs 25.7 times more in California than in Utah. 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· 1st of 46

$3,802

CA $3,802UT $148

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.