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Clearing A Blocked Dialysis Access Site

Washington, DC rates for HCPCS 36904

This procedure removes a blood clot that is blocking a permanent dialysis access site, such as a fistula or graft, so that dialysis can continue safely. It's done by threading thin instruments through the skin into the blood vessel, guided by live imaging, and may include injecting a clot-dissolving medication directly at the site. The goal is to restore blood flow through the access without open surgery.

Rates data updated July 2026.

How much does Clearing A Blocked Dialysis Access Site cost?

$2,455

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $912 to $5,495.

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.

How much rates vary

Facilitymedian $4,786 · 10th to 90th $447 to $7,762Professionalmedian $1,950 · 10th to 90th $447 to $5,248
$500$1K$2K$5K$10K$20Kfacility $4,786professional $1,950

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
$446.68
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$891.25
Typical High
$2,454.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$9,549.93
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$977.24
Typical High
$5,128.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$3,981.07
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$13,489.63
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,905.46
Typical High
$5,248.07

Where Washington, DC sits

The same service costs 6.3 times more in California than in Hawaii. 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.

Washington, DC· 8th of 51

$2,455

CA $4,571HI $724

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.