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Clot Removal From A Dialysis Cannula Using A Balloon

Michigan rates for HCPCS 36861

A clot is cleared from an external dialysis access cannula so that dialysis can go ahead. A balloon-tipped catheter is passed along the tube and drawn back with the balloon inflated, sweeping the clot out and restoring flow. The balloon is the tool used to pull out the clot itself.

Rates data updated July 2026.

How much does Clot Removal From A Dialysis Cannula Using A Balloon cost?

$191

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $4,898 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$155 to $191
FacilityA hospital or hospital-owned outpatient department$4,898$4,074 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $219 to $9,120Professionalmedian $186 · 10th to 90th $135 to $204
$50$200$1K$5Kfacility $4,898professional $186

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$239.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,120.11
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$257.04

Where Michigan sits

The same service costs 38.9 times more in California than in West Virginia. 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.

Michigan· 45th of 51

$191

CA $6,026WV $155

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.