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Dialysis Access Clot Removal With Balloon

Florida 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?

$11,063

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

Insurers have agreed to pay about $11,063 for this procedure. That total is two separate charges: $1,514 to the doctor who performs it, and $9,550 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$1,514$457 to $2,344
Facility feeThe hospital or surgery center$9,550$3,311 to $14,791

How much rates vary

Facilitymedian $9,550 · 10th to 90th $1,445 to $22,387Professionalmedian $1,514 · 10th to 90th $389 to $3,162
$500$1K$2K$5K$10K$20K$50Kfacility $9,550professional $1,514

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
$1,230.27
Median
$7,079.46
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,412.54
Typical High
$3,090.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,995.26
Typical High
$5,128.61
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$6,309.57
Typical High
$12,022.64
AvMed
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,819.70
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$6,456.54
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,318.26
Typical High
$3,715.35
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$13,182.57
Typical High
$24,547.09
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,698.24
Typical High
$4,073.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,659.59
Typical High
$2,238.72

Where Florida 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

Florida· 11th of 50

$11,063

$1,514 physician + $9,550 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.