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Dialysis Access Clot Removal With Balloon

Kentucky 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?

$5,719

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

Insurers have agreed to pay about $5,719 for this procedure. That total is two separate charges: $1,738 to the doctor who performs it, and $3,981 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$1,738$479 to $2,344
Facility feeThe hospital or surgery center$3,981$2,884 to $6,026

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,202 to $8,511Professionalmedian $1,738 · 10th to 90th $427 to $3,020
$500$1K$2K$5K$10Kfacility $3,981professional $1,738

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
$588.84
Median
$2,884.03
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$2,089.30
Typical High
$3,162.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,737.80
Typical High
$2,454.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$660.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$2,818.38
Typical High
$10,715.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$11,481.54
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,737.80
Typical High
$4,265.80

Where Kentucky 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

Kentucky· 41st of 50

$5,719

$1,738 physician + $3,981 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.