go back

Dialysis Access Clot Removal With Balloon

Ohio 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?

$9,948

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

Insurers have agreed to pay about $9,948 for this procedure. That total is two separate charges: $1,820 to the doctor who performs it, and $8,128 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,820$479 to $2,754
Facility feeThe hospital or surgery center$8,128$3,890 to $10,715

How much rates vary

Facilitymedian $8,128 · 10th to 90th $1,479 to $13,183Professionalmedian $1,820 · 10th to 90th $427 to $5,495
$100$1K$10Kfacility $8,128professional $1,820

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
$1,000.00
Median
$8,128.31
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$2,238.72
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$7,413.10
Typical High
$30,199.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,479.11
Typical High
$3,311.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$691.83
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$3,548.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,174.90
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$10,471.29
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,905.46
Typical High
$3,801.89

Where Ohio 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

Ohio· 14th of 50

$9,948

$1,820 physician + $8,128 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.