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Dialysis Access Clot Removal With Balloon

Indiana 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?

$29,164

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

Insurers have agreed to pay about $29,164 for this procedure. That total is two separate charges: $1,622 to the doctor who performs it, and $27,542 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$1,622$479 to $2,455
Facility feeThe hospital or surgery center$27,542$4,898 to $41,687

How much rates vary

Facilitymedian $27,542 · 10th to 90th $1,622 to $48,978Professionalmedian $1,622 · 10th to 90th $417 to $2,818
$500$1K$2K$5K$10K$20K$50Kfacility $27,542professional $1,622

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
$616.60
Median
$3,890.45
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,621.81
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$35,481.34
Typical High
$52,480.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,548.82
Typical High
$3,019.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,659.59
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$13,803.84
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,819.70
Typical High
$3,981.07

Where Indiana 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

Indiana· 1st of 50

$29,164

$1,622 physician + $27,542 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.