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Monthly Kidney Failure Care For A Baby Under Two

North Carolina 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?

$1,585

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $1,288 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 7 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$1,585$1,175 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,288$1,175 to $1,622

How much rates vary

Facilitymedian $1,288 · 10th to 90th $1,000 to $2,042Professionalmedian $1,585 · 10th to 90th $1,072 to $2,630
$10.0$100.0$1.0K$10.0Kfacility $1,288professional $1,585

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
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$2,511.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,290.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,819.70
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$9,332.54

Where North Carolina sits

The same service costs 2.9 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1,585 · 5th of 51
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.