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Clearing A Blocked Dialysis Access Site

North Carolina 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?

$4,276

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $4,276 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $2,692 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$1,585$468 to $2,344
Facility feeThe hospital or surgery center$2,692$1,288 to $8,710

How much rates vary

Facilitymedian $2,692 · 10th to 90th $363 to $12,589Professionalmedian $1,585 · 10th to 90th $355 to $4,365
$500$1K$2K$5K$10K$20Kfacility $2,692professional $1,585

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
$354.81
Median
$2,691.53
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,659.59
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,380.38
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,202.26
Typical High
$3,715.35
Medcost
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,548.82
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$13,803.84
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$1,584.89
Typical High
$3,467.37
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$20,417.38
Typical High
$20,417.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$14,454.40
Typical High
$14,454.40

Where North Carolina 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

North Carolina· 44th of 50

$4,276

$1,585 physician + $2,692 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.