go back

Laser Vein Closure, First Vein

Hawaii rates for HCPCS 36478

A thin fiber is threaded inside a diseased, enlarged vein, usually in the leg, and laser energy is delivered along its length to seal the vein shut from the inside. This closes off blood flow through the faulty vein, which is then naturally reabsorbed by the body, relieving symptoms of varicose veins such as aching, swelling, or visible bulging.

Rates data updated July 2026.

How much does Laser Vein Closure, First Vein cost?

$7,943

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $1,259 to $12,023.

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.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,778 to $4,467Professionalmedian $7,943 · 10th to 90th $355 to $13,804
$200$500$1K$2K$5K$10K$20Kfacility $4,467professional $7,943

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
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,202.26
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,258.93
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$1,174.90
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,023.29
Typical High
$2,137.96
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$9,332.54
Typical High
$14,791.08

Where Hawaii sits

The same service costs 13.2 times more in Hawaii than in South Dakota. 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.

Hawaii· 1st of 51

$7,943

HI $7,943SD $603

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.