go back

Dialysis Access Clot Removal With Balloon

Tennessee 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?

$7,290

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

Insurers have agreed to pay about $7,290 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $5,248 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$2,042$562 to $2,951
Facility feeThe hospital or surgery center$5,248$2,399 to $10,000

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,380 to $13,490Professionalmedian $2,042 · 10th to 90th $457 to $3,981
$100$500$2K$10Kfacility $5,248professional $2,042

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
$1,380.38
Median
$3,548.13
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,412.54
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$8,128.31
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,548.82
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,288.25
Typical High
$4,073.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$38,904.51
Typical High
$38,904.51
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$18,197.01
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,995.26
Typical High
$4,786.30

Where Tennessee 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

Tennessee· 33rd of 50

$7,290

$2,042 physician + $5,248 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.