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Removal of Tissue Sleeve Around a Central Line

Virginia 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?

$4,220

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

Insurers have agreed to pay about $4,220 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $3,631 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$589$219 to $794
Facility feeThe hospital or surgery center$3,631$479 to $7,943

How much rates vary

Facilitymedian $3,631 · 10th to 90th $219 to $10,965Professionalmedian $589 · 10th to 90th $200 to $1,549
$100.0$500.0$2.0K$10.0Kfacility $3,631professional $589

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
$309.03
Median
$4,365.16
Typical High
$10,000.00
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$154.88
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$602.56
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$199.53
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$8,709.64
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$467.74
Typical High
$933.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$3,162.28
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$467.74
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$676.08
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,513.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$575.44
Typical High
$1,230.27
Sentara
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$9,332.54
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$512.86
Typical High
$1,230.27

Where Virginia 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 feeVirginia $4,220 · 27th 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.