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Dialysis Access Clot Removal With Balloon

New York 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?

$9,216

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

Insurers have agreed to pay about $9,216 for this procedure. That total is two separate charges: $2,455 to the doctor who performs it, and $6,761 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$2,455$631 to $3,236
Facility feeThe hospital or surgery center$6,761$3,162 to $11,482

How much rates vary

Facilitymedian $6,761 · 10th to 90th $794 to $17,378Professionalmedian $2,455 · 10th to 90th $468 to $5,129
$500$1K$2K$5K$10K$20Kfacility $6,761professional $2,455

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
$602.56
Median
$4,677.35
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$2,238.72
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$6,309.57
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,905.46
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$7,762.47
Typical High
$20,892.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,584.89
Typical High
$5,888.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,479.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,467.37
Typical High
$4,570.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$4,073.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,762.47
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$2,238.72
Typical High
$5,248.07
Univera
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$758.58
Univera
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$2,137.96
Typical High
$3,801.89

Where New York 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 York· 19th of 50

$9,216

$2,455 physician + $6,761 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.