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Clearing A Blocked Dialysis Access Site

South Dakota 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?

$4,910

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $4,910 for this procedure. That total is two separate charges: $1,820 to the doctor who performs it, and $3,090 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,820$617 to $3,020
Facility feeThe hospital or surgery center$3,090$955 to $4,898

How much rates vary

Facilitymedian $3,090 · 10th to 90th $501 to $5,012Professionalmedian $1,820 · 10th to 90th $380 to $4,169
$500$1K$2K$5K$10Kfacility $3,090professional $1,820

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,258.93
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,137.96
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$13,182.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$4,265.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$2,454.71
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,023.29
Typical High
$5,011.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$4,466.84

Where South Dakota 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

South Dakota· 40th of 50

$4,910

$1,820 physician + $3,090 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.