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Dialysis Access Clot Removal With Balloon

New Jersey 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?

$11,520

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $11,520 for this procedure. That total is two separate charges: $2,188 to the doctor who performs it, and $9,333 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,188$479 to $2,818
Facility feeThe hospital or surgery center$9,333$5,888 to $11,749

How much rates vary

Facilitymedian $9,333 · 10th to 90th $2,884 to $14,454Professionalmedian $2,188 · 10th to 90th $417 to $5,754
$500$1K$2K$5K$10K$20Kfacility $9,333professional $2,188

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
$2,884.03
Median
$9,332.54
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$2,187.76
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,071.52
Typical High
$4,677.35
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$3,630.78
Typical High
$4,168.69
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,018.94
Typical High
$57,543.99
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$2,238.72
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,232.93
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$2,041.74
Typical High
$4,365.16

Where New Jersey 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

New Jersey· 10th of 50

$11,520

$2,188 physician + $9,333 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.