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Dialysis Access Clot Removal With Balloon

Nationwide rates for HCPCS 36905

Restores a blocked dialysis access, wherever in the body it was created. Working through a needle puncture, the surgeon breaks up and draws out the clot and then stretches the narrowed part of the vessel open with a balloon carried on a thin tube. The X-ray pictures taken to guide and check the work are part of the service.

Rates data updated July 2026.

How much does Dialysis Access Clot Removal With Balloon cost?

$9,628

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $9,628 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $7,586 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 67 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$525 to $2,884
Facility feeThe hospital or surgery center$7,586$3,388 to $13,183

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,230 to $21,380Professionalmedian $2,042 · 10th to 90th $427 to $4,786
$500$1K$2K$5K$10K$20K$50Kfacility $7,586professional $2,042

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
$977.24
Median
$5,248.07
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,905.46
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$11,481.54
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$2,137.96
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$7,762.47
Typical High
$21,877.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,584.89
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$10,715.19
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,995.26
Typical High
$4,677.35

What it costs in each state

The same service costs 9.7 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

Touch or drag across the chart to see any state's rate.

IN $29,164WV $2,997

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.