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Extra Needle Access Into A Dialysis Circuit

Iowa 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?

$363

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $135 to $589.

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 $302 · 10th to 90th $107 to $550Professionalmedian $525 · 10th to 90th $95 to $1,202
$100.0$200.0$500.0$1.0Kfacility $302professional $525

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$234.42
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$302.00
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$524.81

Where Iowa sits

The same service costs 25.7 times more in California than in Utah. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $363 · 16th of 46
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.