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Clearing A Blocked Dialysis Access Site

Massachusetts 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?

$4,107

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

Insurers have agreed to pay about $4,107 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $2,818 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$427 to $2,692
Facility feeThe hospital or surgery center$2,818$501 to $4,467

How much rates vary

Facilitymedian $2,818 · 10th to 90th $407 to $6,918Professionalmedian $1,288 · 10th to 90th $372 to $4,571
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $1,288

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
$1,288.25
Median
$3,388.44
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$1,288.25
Typical High
$2,884.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,370.32
Typical High
$15,488.17
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,445.44
Typical High
$5,128.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,548.82
Typical High
$5,248.07
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$3,715.35
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$15,488.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,778.28
Typical High
$4,570.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,370.32
Typical High
$15,488.17
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,445.44
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,244.36
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$2,041.74
Typical High
$5,128.61

Where Massachusetts 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

Massachusetts· 45th of 50

$4,107

$1,288 physician + $2,818 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.