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Removal of Tissue Sleeve Around a Central Line

Iowa rates for HCPCS 36595

Over time a sleeve of fibrous material can build up around the outside of a long-term central line where it sits in the vein, stopping it from drawing or flowing. This procedure clears that sleeve by entering a vein at a separate site and stripping the material away from the outside of the catheter under X-ray guidance.

Rates data updated July 2026.

How much does Removal of Tissue Sleeve Around a Central Line cost?

$5,688

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

Insurers have agreed to pay about $5,688 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $5,012 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$275 to $1,023
Facility feeThe hospital or surgery center$5,012$1,660 to $7,079

How much rates vary

Facilitymedian $5,012 · 10th to 90th $603 to $8,511Professionalmedian $676 · 10th to 90th $178 to $1,950
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $5,012professional $676

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
$912.01
Median
$5,011.87
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$138.04
Median
$138.04
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$562.34
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$338.84
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,348.96
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$776.25
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,621.81
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,096.48
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,318.26
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
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
$630.96
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$1,412.54

Where Iowa sits

The same service costs 10.3 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIowa $5,688 · 18th of 50
IN $10,770WV $1,046

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.