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Extra Needle Access Into A Dialysis Circuit

Texas 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?

$316

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $269 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$269$74.13 to $389

How much rates vary

Facilitymedian $269 · 10th to 90th $59 to $513Professionalmedian $1,096 · 10th to 90th $1,096 to $1,202
$50$100$200$500$1Kfacility $269professional $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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$1,288.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$263.03
Typical High
$512.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$263.03
Typical High
$512.86

Where Texas 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.

Texas· 20th of 46

$316

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.