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Open Removal Of A Clot From A Dialysis Access

Virginia rates for HCPCS 36831

Opens a dialysis access, the surgically created connection in an arm or leg used for hemodialysis, through an incision and removes the clot blocking it so flow is restored. The access itself is not reshaped or rebuilt during this procedure.

Rates data updated July 2026.

How much does Open Removal Of A Clot From A Dialysis Access cost?

$6,166

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $1,047 to $11,220.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $692 to $15,488Professionalmedian $741 · 10th to 90th $537 to $851
$500$1K$2K$5K$10K$20Kfacility $6,166professional $741

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. 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
Global
Typical Low
$758.58
Median
$6,165.95
Typical High
$15,488.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$8,709.64
Typical High
$12,022.64
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,412.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,288.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,302.69
Typical High
$27,542.29

Where Virginia sits

The same service costs 24.5 times more in Indiana than in North Dakota. 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.

Virginia· 24th of 50

$6,166

IN $15,136ND $617

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.