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Dialysis Access Clot Removal With Balloon

Georgia 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?

$8,172

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

Insurers have agreed to pay about $8,172 for this procedure. That total is two separate charges: $1,862 to the doctor who performs it, and $6,310 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,862$537 to $3,020
Facility feeThe hospital or surgery center$6,310$3,890 to $13,490

How much rates vary

Facilitymedian $6,310 · 10th to 90th $2,138 to $26,303Professionalmedian $1,862 · 10th to 90th $437 to $4,467
$500$1K$2K$5K$10K$20Kfacility $6,310professional $1,862

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
$1,202.26
Median
$5,370.32
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,096.48
Typical High
$4,570.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$4,897.79
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,079.46
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$2,041.74
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,318.26
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$2,454.71
Typical High
$6,025.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$2,041.74
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$8,511.38
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$2,290.87
Typical High
$5,128.61

Where Georgia 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

Georgia· 28th of 50

$8,172

$1,862 physician + $6,310 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.