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Replacement Of A Long-Term Central IV Line

California rates for HCPCS 36581

An existing long-term intravenous catheter, one that runs under the skin to a large vein near the heart, is removed and replaced with a new one through the same access site, without a separate medication reservoir or port attached. This is used when a catheter that has been in place for ongoing IV access needs to be swapped out.

Rates data updated July 2026.

How much does Replacement Of A Long-Term Central IV Line cost?

$5,494

Typical total for the visit. In California, July 2026.

Insurers have agreed to pay about $5,494 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $4,786 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$219 to $1,000
Facility feeThe hospital or surgery center$4,786$2,951 to $7,244

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,905 to $13,490Professionalmedian $708 · 10th to 90th $178 to $2,188
$100.0$1.0K$10.0Kfacility $4,786professional $708

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
$1,412.54
Median
$6,025.60
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$707.95
Typical High
$2,187.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,047.13
Typical High
$2,454.71
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,235.94
Typical High
$7,079.46
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$295.12
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$630.96
Typical High
$1,659.59
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$676.08
Typical High
$1,445.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,165.95
Typical High
$6,165.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$776.25
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$549.54
Typical High
$1,698.24
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,691.53
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$9,772.37
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$645.65
Typical High
$1,659.59

Where California sits

The same service costs 5.6 times more in Wisconsin than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeCalifornia $5,494 · 12th of 50
WI $8,498ND $1,521

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.