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Clearing A Blocked Dialysis Access Site

Georgia 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?

$7,030

Typical total for the visit. In Georgia, July 2026.

Insurers have agreed to pay about $7,030 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $5,370 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,660$468 to $2,455
Facility feeThe hospital or surgery center$5,370$3,162 to $8,318

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,820 to $10,715Professionalmedian $1,660 · 10th to 90th $398 to $3,311
$500$1K$2K$5K$10K$20Kfacility $5,370professional $1,660

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
$1,202.26
Median
$5,370.32
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,862.09
Typical High
$3,162.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,495.41
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,513.56
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,122.02
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,949.84
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,584.89
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,862.09
Typical High
$4,073.80

Where Georgia sits

The same service costs 6.6 times more in Indiana 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.

Physician feeFacility fee

Georgia· 21st of 50

$7,030

$1,660 physician + $5,370 facility

IN $17,536WV $2,671

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.