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Replacement Of A Long-Term Central IV Line

Maryland 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?

$1,594

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

Insurers have agreed to pay about $1,594 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $977 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$224 to $1,000
Facility feeThe hospital or surgery center$977$224 to $2,138

How much rates vary

Facilitymedian $977 · 10th to 90th $95 to $3,715Professionalmedian $617 · 10th to 90th $195 to $1,413
$100$200$500$1K$2K$5Kfacility $977professional $617

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
$95.50
Median
$977.24
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$707.95
Typical High
$1,412.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$537.03
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$562.34
Typical High
$1,445.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,288.25

Where Maryland 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

Maryland· 49th of 50

$1,594

$617 physician + $977 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.