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Monthly Kidney Failure Care For A Baby Under Two

Montana rates for HCPCS 90951

Covers a full calendar month of management by a physician or other qualified health professional for a baby under two years old who has kidney failure and is on dialysis, with four or more face-to-face visits during that month. It takes in checking that dialysis is doing its job, reviewing blood results and medicines, and following feeding, growth and development closely. Counselling the parents is part of the service.

Rates data updated July 2026.

How much does Monthly Kidney Failure Care For A Baby Under Two cost?

$1,479

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,862 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$1,072 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,862$1,514 to $1,995

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,202 to $2,239Professionalmedian $1,175 · 10th to 90th $759 to $2,818
$100$200$500$1K$2K$5Kfacility $1,862professional $1,175

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
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$3,467.37
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$2,041.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,511.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,819.70
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,862.09

Where Montana sits

The same service costs 2.9 times more in Minnesota than in Vermont. 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.

Montana· 7th of 51

$1,479

MN $2,570VT $891

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.