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Replacement Of A Long-Term Central IV Line

Montana 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?

$1,686

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

Insurers have agreed to pay about $1,686 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $1,288 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$398$214 to $891
Facility feeThe hospital or surgery center$1,288$316 to $1,349

How much rates vary

Facilitymedian $1,288 · 10th to 90th $309 to $3,890Professionalmedian $398 · 10th to 90th $178 to $1,318
$200$1K$5K$20K$100Kfacility $1,288professional $398

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
$1,023.29
Median
$3,630.78
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$398.11
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$1,202.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,174.90
Typical High
$1,479.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$1,174.90
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$954.99
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$281.84
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$776.25
Typical High
$1,479.11

Where Montana 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

Montana· 47th of 50

$1,686

$398 physician + $1,288 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.