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Replacement Of A Long-Term Central IV Line

Iowa 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?

$3,782

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

Insurers have agreed to pay about $3,782 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $3,090 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$263 to $1,122
Facility feeThe hospital or surgery center$3,090$1,445 to $5,495

How much rates vary

Facilitymedian $3,090 · 10th to 90th $372 to $7,943Professionalmedian $692 · 10th to 90th $204 to $1,820
$200$500$1K$2K$5K$10Kfacility $3,090professional $692

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
$354.81
Median
$3,019.95
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$537.03
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$2,187.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,000.00
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,089.30
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,380.38
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,584.89
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$2,137.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$407.38
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,079.46
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$758.58
Typical High
$2,238.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$1,862.09

Where Iowa sits

The same service costs 5.6 times more in Wisconsin than in North 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.

Physician feeFacility fee

Iowa· 25th of 50

$3,782

$692 physician + $3,090 facility

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.