go back

Dialysis Access Clot Removal With Balloon

Missouri 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?

$8,649

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

Insurers have agreed to pay about $8,649 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $6,607 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$2,042$525 to $2,754
Facility feeThe hospital or surgery center$6,607$2,951 to $12,882

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,778 to $19,953Professionalmedian $2,042 · 10th to 90th $437 to $4,571
$500$1K$2K$5K$10K$20Kfacility $6,607professional $2,042

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
$831.76
Median
$5,128.61
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$2,344.23
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$10,000.00
Typical High
$17,378.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,621.81
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$18,620.87
Typical High
$33,884.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$977.24
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,884.03
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,981.07
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$6,025.60
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$2,187.76
Typical High
$4,897.79

Where Missouri 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

Missouri· 24th of 50

$8,649

$2,042 physician + $6,607 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.