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Dialysis Access Clot Removal With Balloon

South 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?

$10,780

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

Insurers have agreed to pay about $10,780 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $9,550 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$1,230$575 to $3,090
Facility feeThe hospital or surgery center$9,550$1,047 to $17,378

How much rates vary

Facilitymedian $9,550 · 10th to 90th $603 to $22,909Professionalmedian $1,230 · 10th to 90th $437 to $3,090
$100$1K$10Kfacility $9,550professional $1,230

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
$1,230.27
Median
$12,022.64
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$2,089.30
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$851.14
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,023.29
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,258.93
Typical High
$4,570.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,862.09
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$20,417.38
Typical High
$47,863.01
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,905.46
Typical High
$4,168.69

Where South 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

South Carolina· 13th of 50

$10,780

$1,230 physician + $9,550 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.