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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 October 2026.

How much does Laser Vein Closure, First Vein cost?

$1,259

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $3,236 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$355 to $1,479
FacilityA hospital or hospital-owned outpatient department$3,236$3,020 to $4,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $2,239 to $4,467Professionalmedian $1,259 · 10th to 90th $240 to $12,023
$200$500$1K$2K$5K$10K$20Kfacility $3,236professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$676.08
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$3,235.94
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$1,071.52
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$1,258.93
Typical High
$1,819.70
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$1,380.38
Typical High
$13,803.84

Where Hawaii sits

The same service costs 4.8 times more in Alaska than in Nebraska. 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· 25th of 51

$1,259

AK $2,512NE $525

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.