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Revision Or Closure Of An External Dialysis Shunt

Alabama rates for HCPCS 36815

Surgery to revise, or to close off, an external shunt — a tube running outside the skin that joins an artery to a vein to give access for dialysis. It is done when the shunt clots, becomes infected, or is no longer needed.

Rates data updated July 2026.

How much does Revision Or Closure Of An External Dialysis Shunt cost?

$288

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $3,311 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$151 to $240
FacilityA hospital or hospital-owned outpatient department$3,311$1,413 to $4,467

How much rates vary

Facilitymedian $3,311 · 10th to 90th $955 to $6,607Professionalmedian $240 · 10th to 90th $129 to $302
$100$200$500$1K$2K$5K$10Kfacility $3,311professional $240

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
$794.33
Median
$1,230.27
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,630.78
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,248.07
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$223.87

Where Alabama sits

The same service costs 40.7 times more in California than in West Virginia. 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.

Alabama· 28th of 51

$288

CA $6,166WV $151

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.