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Clearing A Blocked Dialysis Access Site

Ohio 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?

$7,685

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

Insurers have agreed to pay about $7,685 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $6,026 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$1,660$417 to $2,188
Facility feeThe hospital or surgery center$6,026$2,951 to $10,233

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,000 to $12,589Professionalmedian $1,660 · 10th to 90th $355 to $5,754
$50$200$1K$5K$20Kfacility $6,026professional $1,660

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
$691.83
Median
$6,025.60
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,862.09
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$5,888.44
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,202.26
Typical High
$2,570.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$741.31
Typical High
$2,818.38
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$741.31
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$977.24
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$8,317.64
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,513.56
Typical High
$3,019.95

Where Ohio 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

Ohio· 17th of 50

$7,685

$1,660 physician + $6,026 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.