go back

Clearing A Blocked Dialysis Access Site

Kentucky 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?

$4,980

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

Insurers have agreed to pay about $4,980 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $3,631 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$1,349$398 to $1,862
Facility feeThe hospital or surgery center$3,631$2,399 to $6,761

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,349 to $8,511Professionalmedian $1,349 · 10th to 90th $339 to $2,512
$500$1K$2K$5K$10Kfacility $3,631professional $1,349

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
$489.78
Median
$2,290.87
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,659.59
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,801.89
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$1,348.96
Typical High
$1,905.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$2,187.76
Typical High
$8,317.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$7,413.10
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,288.25
Typical High
$3,235.94

Where Kentucky 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

Kentucky· 37th of 50

$4,980

$1,349 physician + $3,631 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.