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Clearing A Blocked Dialysis Access Site

Illinois 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?

$4,941

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

Insurers have agreed to pay about $4,941 for this procedure. That total is two separate charges: $1,778 to the doctor who performs it, and $3,162 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,778$501 to $2,818
Facility feeThe hospital or surgery center$3,162$1,738 to $5,623

How much rates vary

Facilitymedian $3,162 · 10th to 90th $708 to $9,772Professionalmedian $1,778 · 10th to 90th $398 to $3,548
$500$1K$2K$5K$10K$20Kfacility $3,162professional $1,778

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
$707.95
Median
$2,454.71
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$1,737.80
Typical High
$3,311.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,317.64
Typical High
$10,715.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,778.28
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$2,951.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$2,398.83
Typical High
$5,495.41
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,309.57
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,737.80
Typical High
$3,467.37

Where Illinois 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

Illinois· 38th of 50

$4,941

$1,778 physician + $3,162 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.