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Upper Arm Dialysis Access Creation

Delaware rates for HCPCS 36818

Creates a dialysis access point in the upper arm by joining a vein directly to an artery, and moving that vein to a shallower, straighter position so it can be reached easily with needles. Over the following weeks the strong arterial flow thickens and enlarges the vein until it can withstand repeated needling.

Rates data updated October 2026.

How much does Upper Arm Dialysis Access Creation cost?

$4,280

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $4,280 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $3,467 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$692 to $871
Facility feeThe hospital or surgery center$3,467$1,905 to $4,898

How much rates vary

Facilitymedian $3,467 · 10th to 90th $813 to $7,079Professionalmedian $813 · 10th to 90th $676 to $1,175
$500$1K$2K$5K$10Kfacility $3,467professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$812.83
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$812.83
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$3,981.07
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$676.08
Typical High
$977.24
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$16,218.10
Typical High
$19,054.61
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$794.33
Typical High
$1,621.81

Where Delaware sits

The same service costs 5.1 times more in Wisconsin than in Montana. 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

Delaware· 35th of 51

$4,280

$813 physician + $3,467 facility

WI $10,473MT $2,074

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.