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Dialysis Access Clot Removal With Balloon

Illinois 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?

$5,720

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

Insurers have agreed to pay about $5,720 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $3,631 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,089$525 to $3,090
Facility feeThe hospital or surgery center$3,631$1,820 to $7,586

How much rates vary

Facilitymedian $3,631 · 10th to 90th $851 to $15,136Professionalmedian $2,089 · 10th to 90th $447 to $4,467
$500$1K$2K$5K$10K$20Kfacility $3,631professional $2,089

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
$851.14
Median
$3,235.94
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,659.59
Typical High
$4,265.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$14,791.08
Typical High
$19,952.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$2,187.76
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$933.25
Typical High
$3,715.35
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$3,019.95
Typical High
$6,025.60
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$10,471.29
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$2,187.76
Typical High
$4,365.16

Where Illinois 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

Illinois· 39th of 50

$5,720

$2,089 physician + $3,631 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.