go back

Dialysis Access Clot Removal With Balloon

North Carolina 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?

$5,557

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $5,557 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $3,467 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,089$501 to $2,570
Facility feeThe hospital or surgery center$3,467$977 to $12,303

How much rates vary

Facilitymedian $3,467 · 10th to 90th $437 to $14,454Professionalmedian $2,089 · 10th to 90th $437 to $3,981
$500$1K$2K$5K$10K$20Kfacility $3,467professional $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
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,467.37
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,412.54
Typical High
$3,090.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$2,398.83
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,445.44
Typical High
$4,786.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,862.09
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$19,054.61
Typical High
$30,902.95
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$2,041.74
Typical High
$4,365.16
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$38,904.51
Typical High
$38,904.51
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$18,197.01
Typical High
$18,197.01

Where North Carolina 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

North Carolina· 42nd of 50

$5,557

$2,089 physician + $3,467 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.