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Upper Arm Dialysis Access Creation

Hawaii 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?

$2,240

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

Insurers have agreed to pay about $2,240 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $1,445 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$661 to $912
Facility feeThe hospital or surgery center$1,445$1,259 to $3,802

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $4,467Professionalmedian $794 · 10th to 90th $30 to $5,248
$50$100$200$500$1K$2K$5Kfacility $1,445professional $794

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
$1,047.13
Median
$2,818.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$812.83
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$724.44
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$1,000.00
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$891.25
Typical High
$6,165.95

Where Hawaii 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

Hawaii· 50th of 51

$2,240

$794 physician + $1,445 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.