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Clearing A Blocked Dialysis Access Site

Virginia 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?

$6,565

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

Insurers have agreed to pay about $6,565 for this procedure. That total is two separate charges: $1,778 to the doctor who performs it, and $4,786 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$1,778$447 to $2,455
Facility feeThe hospital or surgery center$4,786$1,738 to $9,333

How much rates vary

Facilitymedian $4,786 · 10th to 90th $437 to $12,023Professionalmedian $1,778 · 10th to 90th $398 to $4,074
$500$1K$2K$5K$10K$20Kfacility $4,786professional $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
$630.96
Median
$5,248.07
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,778.28
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$8,709.64
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,047.13
Typical High
$2,818.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$7,079.46
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$954.99
Typical High
$3,162.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$2,041.74
Typical High
$2,511.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,548.82
Typical High
$3,467.37
Sentara
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$12,022.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,302.69
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,096.48
Typical High
$3,388.44

Where Virginia 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

Virginia· 27th of 50

$6,565

$1,778 physician + $4,786 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.