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Clearing A Blocked Dialysis Access Site

Tennessee 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?

$5,852

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

Insurers have agreed to pay about $5,852 for this procedure. That total is two separate charges: $1,778 to the doctor who performs it, and $4,074 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,778$468 to $2,399
Facility feeThe hospital or surgery center$4,074$2,455 to $7,413

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,000 to $9,772Professionalmedian $1,778 · 10th to 90th $380 to $3,090
$100$500$2K$10Kfacility $4,074professional $1,778

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
$1,000.00
Median
$2,951.21
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,621.81
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,288.25
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,071.52
Typical High
$3,235.94
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$20,417.38
Typical High
$20,417.38
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$14,454.40
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$8,128.31
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,548.82
Typical High
$3,801.89

Where Tennessee 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

Tennessee· 33rd of 50

$5,852

$1,778 physician + $4,074 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.