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Dialysis Access Clot Removal With Balloon

Utah 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?

$8,949

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

Insurers have agreed to pay about $8,949 for this procedure. That total is two separate charges: $2,188 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 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$661 to $3,162
Facility feeThe hospital or surgery center$6,761$3,162 to $10,233

How much rates vary

Facilitymedian $6,761 · 10th to 90th $3,162 to $13,183Professionalmedian $2,188 · 10th to 90th $490 to $7,079
$500$1K$2K$5K$10K$20Kfacility $6,761professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$6,025.60
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,348.96
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$1,071.52
Typical High
$10,232.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$22,387.21
Typical High
$33,884.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,071.52
Typical High
$5,128.61
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$3,090.30
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,995.26
Typical High
$4,168.69

Where Utah 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

Utah· 22nd of 50

$8,949

$2,188 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.