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Blood Exchange Transfusion, Non-Newborn

Oklahoma 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?

$155

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $1,047 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$138$120 to $158
FacilityA hospital or hospital-owned outpatient department$1,047$501 to $2,455

How much rates vary

Facilitymedian $1,047 · 10th to 90th $155 to $6,310Professionalmedian $138 · 10th to 90th $107 to $204
$100$200$500$1K$2K$5K$10Kfacility $1,047professional $138

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
$501.19
Median
$1,380.38
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$616.60
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$204.17

Where Oklahoma 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.

Oklahoma· 34th of 51

$155

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.