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Clearing A Blocked Dialysis Access Site

New York 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?

$8,028

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $8,028 for this procedure. That total is two separate charges: $1,862 to the doctor who performs it, and $6,166 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,862$537 to $2,512
Facility feeThe hospital or surgery center$6,166$2,754 to $10,233

How much rates vary

Facilitymedian $6,166 · 10th to 90th $661 to $14,454Professionalmedian $1,862 · 10th to 90th $389 to $4,266
$500$1K$2K$5K$10K$20Kfacility $6,166professional $1,862

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
$501.19
Median
$3,715.35
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$1,862.09
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$9,772.37
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,905.46
Typical High
$5,011.87
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,995.26
Typical High
$16,595.87
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$575.44
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,288.25
Typical High
$4,677.35
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$3,548.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$3,235.94
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,570.40
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,778.28
Typical High
$4,073.80
Univera
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$602.56
Univera
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,698.24
Typical High
$3,019.95

Where New York 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

New York· 14th of 50

$8,028

$1,862 physician + $6,166 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.