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Blood Exchange Transfusion, Non-Newborn

Alaska rates for HCPCS 36455

This procedure gradually removes a patient's blood while simultaneously replacing it with donor blood, diluting out harmful substances such as toxins, abnormal blood cells, or excess bilirubin. It is performed in older infants, children, or adults for conditions like severe sickle cell complications or certain poisonings. The exchange is done gradually to keep the patient's blood volume and pressure stable throughout.

Rates data updated July 2026.

How much does Blood Exchange Transfusion, Non-Newborn cost?

$288

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $195 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 6 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$316$141 to $501
FacilityA hospital or hospital-owned outpatient department$195$158 to $295

How much rates vary

Facilitymedian $195 · 10th to 90th $138 to $708Professionalmedian $316 · 10th to 90th $123 to $708
$100$200$500$1K$2K$5K$10Kfacility $195professional $316

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$5,888.44
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$501.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$758.58
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$407.38

Where Alaska sits

The same service costs 3.1 times more in California than in Kentucky. 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.

Alaska· 2nd of 51

$288

CA $427KY $138

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.