go back

Surgical Connection Of An Artery And Vein For Dialysis

Delaware rates for HCPCS 36821

In an open operation, an artery and a vein lying next to it are sewn directly to one another so that arterial blood flows into the vein. Over the following weeks the vein thickens and widens into a durable access point that can be needled again and again for dialysis. No artificial graft material is used, and the join can be made at any suitable site on the body.

Rates data updated October 2026.

How much does Surgical Connection Of An Artery And Vein For Dialysis cost?

$2,720

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

Insurers have agreed to pay about $2,720 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $1,995 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$724$617 to $871
Facility feeThe hospital or surgery center$1,995$1,288 to $3,236

How much rates vary

Facilitymedian $1,995 · 10th to 90th $794 to $7,244Professionalmedian $724 · 10th to 90th $525 to $1,122
$500$1K$2K$5K$10K$20Kfacility $1,995professional $724

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
$616.60
Median
$794.33
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$2,041.74
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$588.84
Typical High
$1,023.29
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$8,709.64
Typical High
$19,952.62
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,071.52
Typical High
$1,258.93
United
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$676.08
Typical High
$1,548.82

Where Delaware sits

The same service costs 4.1 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· 41st of 51

$2,720

$724 physician + $1,995 facility

WI $8,264MT $2,002

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.