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Dialysis Access Clot Removal With Balloon

Virginia 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?

$7,487

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

Insurers have agreed to pay about $7,487 for this procedure. That total is two separate charges: $2,239 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,239$537 to $3,090
Facility feeThe hospital or surgery center$5,248$2,138 to $11,220

How much rates vary

Facilitymedian $5,248 · 10th to 90th $525 to $15,849Professionalmedian $2,239 · 10th to 90th $468 to $4,677
$500$1K$2K$5K$10K$20Kfacility $5,248professional $2,239

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
$758.58
Median
$5,370.32
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$2,290.87
Typical High
$5,128.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$8,709.64
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,318.26
Typical High
$3,548.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$12,589.25
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,148.15
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$2,570.40
Typical High
$3,235.94
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,905.46
Typical High
$4,365.16
Sentara
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$21,379.62
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$15,135.61
Typical High
$36,307.81
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,318.26
Typical High
$4,265.80

Where Virginia 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

Virginia· 31st of 50

$7,487

$2,239 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.