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Monthly Kidney Care For A Child On Dialysis

Indiana rates for HCPCS 90954

Covers a full month of a doctor's oversight of a child with end-stage kidney disease who is on dialysis, including in-person reviews, checking how well the dialysis is working, and managing growth, nutrition, blood pressure and medicines. It is counted once for the month rather than per visit.

Rates data updated July 2026.

How much does Monthly Kidney Care For A Child On Dialysis cost?

$955

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,148 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$955$759 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,148$1,000 to $1,288

How much rates vary

Facilitymedian $1,148 · 10th to 90th $759 to $1,738Professionalmedian $955 · 10th to 90th $708 to $1,202
$1K$2Kfacility $1,148professional $955

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
$707.95
Median
$954.99
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$1,148.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,318.26

Where Indiana sits

The same service costs 2.8 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.

Indiana· 42nd of 51

$955

MN $2,188VT $776

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.