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Dialysis Access Clot Removal With Balloon

Iowa 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?

$9,317

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

Insurers have agreed to pay about $9,317 for this procedure. That total is two separate charges: $2,399 to the doctor who performs it, and $6,918 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$2,399$676 to $3,548
Facility feeThe hospital or surgery center$6,918$5,370 to $11,482

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,148 to $16,596Professionalmedian $2,399 · 10th to 90th $407 to $7,079
$500$1K$2K$5K$10K$20Kfacility $6,918professional $2,399

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
$1,819.70
Median
$6,760.83
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,398.83
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$5,128.61
Typical High
$6,456.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$2,818.38
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$6,025.60
Typical High
$28,183.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$4,365.16
Typical High
$7,943.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$4,677.35
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$16,595.87
Typical High
$30,199.52
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$2,344.23
Typical High
$6,760.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$5,370.32

Where Iowa 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

Iowa· 17th of 50

$9,317

$2,399 physician + $6,918 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.