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Dialysis Access Clot Removal With Balloon

Connecticut 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?

$12,377

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

Insurers have agreed to pay about $12,377 for this procedure. That total is two separate charges: $1,905 to the doctor who performs it, and $10,471 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$1,905$692 to $3,715
Facility feeThe hospital or surgery center$10,471$7,943 to $17,378

How much rates vary

Facilitymedian $10,471 · 10th to 90th $4,898 to $21,380Professionalmedian $1,905 · 10th to 90th $479 to $5,370
$500$1K$2K$5K$10K$20Kfacility $10,471professional $1,905

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
$4,897.79
Median
$9,549.93
Typical High
$19,054.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,905.46
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$19,498.45
Typical High
$31,622.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$2,238.72
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,548.82
Typical High
$5,370.32
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$12,589.25
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$2,344.23
Typical High
$6,165.95

Where Connecticut sits

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

Connecticut· 8th of 50

$12,377

$1,905 physician + $10,471 facility

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.