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Dialysis access (AV fistula) in Seattle-Tacoma WA

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 36821

Hospital · insurer	Rate	× Medicare	Plans
Swedish Issaquah median $8,388 · local Medicare $3,667 · file 2026-04-01
Aetna	$11,210	3.1×	1
Cigna	$7,277	2.0×	1
First Choice	$13,856	3.8×	2
Kaiser Permanente	$5,500	1.5×	1
Premera Blue Cross	$8,388	2.3×	2
Providence Health Plan	$8,140	2.2×	1
UnitedHealthcare	$13,860	3.8×	2
Overlake Hospital Medical Center median $8,442 · local Medicare $3,667 · file 2026-04-01
Aetna	$9,601	2.6×	1
Cigna	$4,614	1.3×	3
First Choice	$8,314	2.3×	12
Kaiser Permanente	$9,643	2.6×	1
Premera Blue Cross	$8,570	2.3×	5
UnitedHealthcare	$6,777	1.8×	2
Providence Regional Medical Center Everett median $8,827 · local Medicare $3,519 · file 2026-04-01
Aetna	$11,618	3.3×	2
Cigna	$9,161	2.6×	1
First Choice	$10,503	3.0×	1
Kaiser Permanente	$5,394	1.5×	1
Premera Blue Cross	$7,266	2.1×	2
Providence Health Plan	$8,342	2.4×	1
UnitedHealthcare	$8,827	2.5×	3
Swedish Edmonds Hospital median $8,894 · local Medicare $3,519 · file 2026-04-01
Aetna	$2,826	0.8×	2
Cigna	$7,277	2.1×	1
First Choice	$13,718	3.9×	2
Kaiser Permanente	$5,394	1.5×	1
Premera Blue Cross	$8,894	2.5×	2
Providence Health Plan	$9,133	2.6×	1
UnitedHealthcare	$11,954	3.4×	2
St Clare Hospital median $9,033 · local Medicare $3,685 · file 2026-02-28
Aetna	$14,520	3.9×	2
Cigna	$6,630	1.8×	1
First Choice	$15,592	4.2×	1
Kaiser Permanente	$8,105	2.2×	2
Premera Blue Cross	$10,666	2.9×	1
Regence BlueShield	$9,033	2.5×	1
Sound Family Medicine	$6,778	1.8×	1
Uniform Medical Plan	$7,878	2.1×	1
UnitedHealthcare	$11,850	3.2×	3
St Joseph Medical Center median $9,033 · local Medicare $3,685 · file 2026-02-28
Aetna	$14,520	3.9×	2
Cigna	$6,630	1.8×	1
First Choice	$15,592	4.2×	1
Kaiser Permanente	$8,105	2.2×	2
Premera Blue Cross	$10,666	2.9×	1
Regence BlueShield	$9,033	2.5×	1
Sound Family Medicine	$7,135	1.9×	1
Uniform Medical Plan	$7,878	2.1×	1
UnitedHealthcare	$11,850	3.2×	3
St Francis Community Hospital median $9,033 · local Medicare $3,667 · file 2026-02-28
Aetna	$14,520	4.0×	2
Cigna	$6,630	1.8×	1
First Choice	$15,592	4.3×	1
Kaiser Permanente	$8,105	2.2×	2
Premera Blue Cross	$10,666	2.9×	1
Regence BlueShield	$9,033	2.5×	1
Sound Family Medicine	$6,656	1.8×	1
Uniform Medical Plan	$7,878	2.1×	1
UnitedHealthcare	$11,850	3.2×	3
St Anne Hospital median $9,349 · local Medicare $3,667 · file 2026-02-28
Aetna	$13,277	3.6×	2
Cigna	$6,630	1.8×	1
First Choice	$14,271	3.9×	1
Premera Blue Cross	$9,665	2.6×	1
Regence BlueShield	$9,033	2.5×	1
Sound Family Medicine	$6,656	1.8×	1
Uniform Medical Plan	$7,878	2.1×	1
UnitedHealthcare	$14,127	3.9×	2
Multicare Auburn Medical Center median $9,378 · local Medicare $3,667 · file 2026-08-27
Aetna	$14,684	4.0×	1
Cigna	$15,157	4.1×	1
Community Health Plan of Washington	$4,351	1.2×	2
Coordinated Care	$2,644	0.7×	1
Elevance/Anthem/Empire	$2,644	0.7×	1
First Choice	$6,460	1.8×	3
Kaiser Permanente	$13,793	3.8×	1
Premera Blue Cross	$11,908	3.2×	4
Regence BlueShield	$10,614	2.9×	4
Uniform Medical	$7,760	2.1×	1
UnitedHealthcare	$9,378	2.6×	2
Multicare Covington Medical Center median $9,378 · local Medicare $3,667 · file 2026-08-27
Aetna	$14,684	4.0×	1
Cigna	$15,157	4.1×	1
Community Health Plan of Washington	$4,351	1.2×	2
Coordinated Care	$2,644	0.7×	1
Elevance/Anthem/Empire	$2,644	0.7×	1
First Choice	$6,460	1.8×	3
Kaiser Permanente	$13,793	3.8×	1
Premera Blue Cross	$11,908	3.2×	4
Regence BlueShield	$10,614	2.9×	4
Uniform Medical	$7,760	2.1×	1
UnitedHealthcare	$9,378	2.6×	2
St Anthony Hospital median $9,381 · local Medicare $3,685 · file 2026-02-28
Aetna	$14,520	3.9×	2
Cigna	$6,630	1.8×	1
First Choice	$15,592	4.2×	1
Kaiser Permanente	$8,105	2.2×	2
Premera Blue Cross	$10,666	2.9×	1
Regence BlueShield	$9,381	2.5×	1
Sound Family Medicine	$6,778	1.8×	1
Uniform Medical Plan	$8,143	2.2×	1
UnitedHealthcare	$11,850	3.2×	3
Multicare Good Samaritan Hospital median $9,409 · local Medicare $3,685 · file 2026-08-27
Aetna	$14,684	4.0×	1
Cigna	$15,157	4.1×	1
Community Health Plan of Washington	$4,397	1.2×	2
Coordinated Care	$2,705	0.7×	1
Elevance/Anthem/Empire	$2,705	0.7×	1
First Choice	$6,460	1.8×	3
Kaiser Permanente	$13,793	3.7×	1
Premera Blue Cross	$11,908	3.2×	4
Regence BlueShield	$10,614	2.9×	4
Uniform Medical	$7,760	2.1×	1
UnitedHealthcare	$9,409	2.6×	2
Tacoma General Allenmore Hospital median $9,409 · local Medicare $3,685 · file 2026-08-27
Aetna	$14,684	4.0×	1
Cigna	$15,157	4.1×	1
Community Health Plan of Washington	$4,397	1.2×	2
Coordinated Care	$2,706	0.7×	1
Elevance/Anthem/Empire	$2,706	0.7×	1
First Choice	$4,627	1.3×	3
Kaiser Permanente	$13,793	3.7×	1
Premera Blue Cross	$11,908	3.2×	4
Regence BlueShield	$10,614	2.9×	4
Uniform Medical	$7,760	2.1×	1
UnitedHealthcare	$9,409	2.6×	2
Virginia Mason Medical Center median $10,880 · local Medicare $3,667 · file 2026-01-01
Aetna	$12,900	3.5×	1
Cigna	$10,915	3.0×	2
Coventry - First Health (rental network)	$7,541	2.1×	1
Kaiser Permanente	$8,824	2.4×	1
Premera Blue Cross	$10,844	3.0×	1
Regence BlueShield	$9,067	2.5×	2
UnitedHealthcare	$11,592	3.2×	1
Swedish Medical Center / Cherry Hill median $11,283 · local Medicare $3,667 · file 2026-04-01
Aetna	$11,500	3.1×	2
Cigna	$7,277	2.0×	1
First Choice	$13,274	3.6×	2
Kaiser Permanente	$5,484	1.5×	1
Premera Blue Cross	$11,283	3.1×	2
Providence Health Plan	$8,556	2.3×	1
UnitedHealthcare	$13,821	3.8×	2
Swedish Medical Center median $11,389 · local Medicare $3,667 · file 2026-04-01
Aetna	$11,500	3.1×	2
Cigna	$7,277	2.0×	1
First Choice	$13,856	3.8×	2
Kaiser Permanente	$5,484	1.5×	1
Premera Blue Cross	$11,389	3.1×	5
Providence Health Plan	$11,108	3.0×	1
UnitedHealthcare	$13,821	3.8×	2

CPT 36818

Hospital · insurer	Rate	× Medicare	Plans
Providence Regional Medical Center Everett median $12,651 · local Medicare $6,201 · file 2026-04-01
Aetna	$11,618	1.9×	2
Cigna	$9,161	1.5×	1
First Choice	$17,420	2.8×	1
Kaiser Permanente	$9,505	1.5×	1
Premera Blue Cross	$12,651	2.0×	2
Providence Health Plan	$14,702	2.4×	1
UnitedHealthcare	$15,556	2.5×	3
Overlake Hospital Medical Center median $14,254 · local Medicare $6,462 · file 2026-04-01
Aetna	$16,489	2.6×	1
Cigna	$4,614	0.7×	3
First Choice	$13,789	2.1×	12
Kaiser Permanente	$16,994	2.6×	1
Premera Blue Cross	$14,719	2.3×	5
UnitedHealthcare	$11,944	1.8×	2
Swedish Issaquah median $14,345 · local Medicare $6,462 · file 2026-04-01
Aetna	$11,210	1.7×	1
Cigna	$7,277	1.1×	1
First Choice	$22,981	3.6×	2
Kaiser Permanente	$9,693	1.5×	1
Premera Blue Cross	$14,461	2.2×	2
Providence Health Plan	$14,345	2.2×	1
UnitedHealthcare	$24,425	3.8×	2
St Anne Hospital median $14,922 · local Medicare $6,462 · file 2026-02-28
Aetna	$22,804	3.5×	2
Cigna	$6,630	1.0×	1
First Choice	$14,271	2.2×	1
Premera Blue Cross	$16,663	2.6×	1
Regence BlueShield	$15,573	2.4×	1
Sound Family Medicine	$11,432	1.8×	1
Uniform Medical Plan	$13,581	2.1×	1
UnitedHealthcare	$24,263	3.8×	2
Swedish Edmonds Hospital median $15,334 · local Medicare $6,201 · file 2026-04-01
Aetna	$3,210	0.5×	1
Cigna	$7,277	1.2×	1
First Choice	$22,751	3.7×	2
Kaiser Permanente	$9,505	1.5×	1
Premera Blue Cross	$15,334	2.5×	2
Providence Health Plan	$16,096	2.6×	1
UnitedHealthcare	$21,066	3.4×	2
St Clare Hospital median $15,573 · local Medicare $6,494 · file 2026-02-28
Aetna	$24,937	3.8×	2
Cigna	$6,630	1.0×	1
First Choice	$15,592	2.4×	1
Kaiser Permanente	$13,985	2.2×	2
Premera Blue Cross	$18,389	2.8×	1
Regence BlueShield	$15,573	2.4×	1
Sound Family Medicine	$11,641	1.8×	1
Uniform Medical Plan	$13,581	2.1×	1
UnitedHealthcare	$20,352	3.1×	3
St Joseph Medical Center median $15,573 · local Medicare $6,494 · file 2026-02-28
Aetna	$24,937	3.8×	2
Cigna	$6,630	1.0×	1
First Choice	$15,592	2.4×	1
Kaiser Permanente	$13,985	2.2×	2
Premera Blue Cross	$18,389	2.8×	1
Regence BlueShield	$15,573	2.4×	1
Sound Family Medicine	$12,254	1.9×	1
Uniform Medical Plan	$13,581	2.1×	1
UnitedHealthcare	$20,352	3.1×	3
St Francis Community Hospital median $15,573 · local Medicare $6,462 · file 2026-02-28
Aetna	$24,937	3.9×	2
Cigna	$6,630	1.0×	1
First Choice	$15,592	2.4×	1
Kaiser Permanente	$13,985	2.2×	2
Premera Blue Cross	$18,389	2.8×	1
Regence BlueShield	$15,573	2.4×	1
Sound Family Medicine	$11,432	1.8×	1
Uniform Medical Plan	$13,581	2.1×	1
UnitedHealthcare	$20,352	3.1×	3
St Anthony Hospital median $15,592 · local Medicare $6,494 · file 2026-02-28
Aetna	$24,937	3.8×	2
Cigna	$6,630	1.0×	1
First Choice	$15,592	2.4×	1
Kaiser Permanente	$13,985	2.2×	2
Premera Blue Cross	$18,389	2.8×	1
Regence BlueShield	$16,173	2.5×	1
Sound Family Medicine	$11,641	1.8×	1
Uniform Medical Plan	$14,039	2.2×	1
UnitedHealthcare	$20,352	3.1×	3
Virginia Mason Medical Center median $17,164 · local Medicare $6,462 · file 2026-01-01
Aetna	$12,900	2.0×	1
Cigna	$18,747	2.9×	2
Coventry - First Health (rental network)	$7,541	1.2×	1
Kaiser Permanente	$15,224	2.4×	1
Premera Blue Cross	$18,696	2.9×	1
Regence BlueShield	$15,632	2.4×	2
UnitedHealthcare	$19,909	3.1×	1
Multicare Auburn Medical Center median $19,414 · local Medicare $6,462 · file 2026-08-27
Aetna	$25,219	3.9×	1
Cigna	$26,711	4.1×	1
Community Health Plan of Washington	$10,677	1.7×	1
First Choice	$10,714	1.7×	3
Kaiser Permanente	$23,797	3.7×	1
Premera Blue Cross	$20,530	3.2×	4
Regence BlueShield	$18,299	2.8×	4
Uniform Medical	$13,378	2.1×	1
Tacoma General Allenmore Hospital median $19,414 · local Medicare $6,494 · file 2026-08-27
Aetna	$25,219	3.9×	1
Cigna	$26,711	4.1×	1
Community Health Plan of Washington	$10,730	1.7×	1
First Choice	$7,673	1.2×	3
Kaiser Permanente	$23,797	3.7×	1
Premera Blue Cross	$20,530	3.2×	4
Regence BlueShield	$18,299	2.8×	4
Uniform Medical	$13,378	2.1×	1
Multicare Covington Medical Center median $19,414 · local Medicare $6,462 · file 2026-08-27
Aetna	$25,219	3.9×	1
Cigna	$26,711	4.1×	1
Community Health Plan of Washington	$10,677	1.7×	1
First Choice	$10,714	1.7×	3
Kaiser Permanente	$23,797	3.7×	1
Premera Blue Cross	$20,530	3.2×	4
Regence BlueShield	$18,299	2.8×	4
Uniform Medical	$13,378	2.1×	1
Swedish Medical Center / Cherry Hill median $19,452 · local Medicare $6,462 · file 2026-04-01
Aetna	$20,267	3.1×	2
Cigna	$7,277	1.1×	1
First Choice	$22,016	3.4×	2
Kaiser Permanente	$9,665	1.5×	1
Premera Blue Cross	$19,452	3.0×	2
Providence Health Plan	$15,078	2.3×	1
UnitedHealthcare	$24,357	3.8×	2
Swedish Medical Center median $19,635 · local Medicare $6,462 · file 2026-04-01
Aetna	$20,267	3.1×	2
Cigna	$7,277	1.1×	1
First Choice	$22,981	3.6×	2
Kaiser Permanente	$9,665	1.5×	1
Premera Blue Cross	$19,635	3.0×	5
Providence Health Plan	$19,576	3.0×	1
UnitedHealthcare	$24,357	3.8×	2
Multicare Good Samaritan Hospital median $22,164 · local Medicare $6,494 · file 2026-08-27
Aetna	$25,219	3.9×	1
Cigna	$26,711	4.1×	1
Community Health Plan of Washington	$10,730	1.7×	1
First Choice	$10,714	1.6×	3
Kaiser Permanente	$23,797	3.7×	1
Premera Blue Cross	$20,530	3.2×	4

Questions

How much does dialysis access (av fistula) cost with commercial insurance in Seattle-Tacoma WA?

16 Seattle-Tacoma WA hospitals post usable commercial rates for CPT 36821, hospital outpatient. The median across hospitals is $9,364; hospital medians range from $8,388 to $11,389. Your cost depends on your plan's deductible and coinsurance.