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Dialysis Access Clot Removal With Balloon

Montana 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 Montana, 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$447 to $2,570
Facility feeThe hospital or surgery center$3,631$741 to $3,890

How much rates vary

Facilitymedian $3,631 · 10th to 90th $724 to $23,442Professionalmedian $2,089 · 10th to 90th $389 to $3,802
$500$2K$10K$50Kfacility $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
Professional
Modifier
Global
Typical Low
$389.05
Median
$2,089.30
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$3,548.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,630.78
Typical High
$4,265.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$3,630.78
Typical High
$4,265.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$3,715.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$676.08
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,621.81
Typical High
$4,365.16

Where Montana 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

Montana· 40th 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.