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Dialysis Access Clot Removal With Balloon

Massachusetts 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?

$4,822

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

Insurers have agreed to pay about $4,822 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $3,162 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,660$501 to $2,951
Facility feeThe hospital or surgery center$3,162$631 to $5,248

How much rates vary

Facilitymedian $3,162 · 10th to 90th $490 to $9,333Professionalmedian $1,660 · 10th to 90th $398 to $5,754
$100$500$2K$10Kfacility $3,162professional $1,660

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
$1,659.59
Median
$4,265.80
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,659.59
Typical High
$3,090.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$6,165.95
Typical High
$26,302.68
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,819.70
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,905.46
Typical High
$6,606.93
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$4,677.35
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,918.31
Typical High
$20,417.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$2,290.87
Typical High
$5,754.40
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$6,165.95
Typical High
$26,302.68
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,819.70
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$33,113.11
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$2,570.40
Typical High
$6,606.93

Where Massachusetts 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

Massachusetts· 45th of 50

$4,822

$1,660 physician + $3,162 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.