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Dialysis Access Clot Removal With Balloon

South Dakota 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?

$6,078

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

Insurers have agreed to pay about $6,078 for this procedure. That total is two separate charges: $2,188 to the doctor who performs it, and $3,890 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$2,188$631 to $3,548
Facility feeThe hospital or surgery center$3,890$1,148 to $6,310

How much rates vary

Facilitymedian $3,890 · 10th to 90th $603 to $6,918Professionalmedian $2,188 · 10th to 90th $427 to $5,129
$500$1K$2K$5K$10K$20Kfacility $3,890professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,513.56
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,691.53
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$4,570.88
Typical High
$16,595.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,047.13
Typical High
$5,370.32
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$3,090.30
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,230.27
Typical High
$6,456.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$5,623.41

Where South Dakota 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 Dakota· 36th of 50

$6,078

$2,188 physician + $3,890 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.