go back

Monthly Kidney Failure Care For A Child

Florida rates for HCPCS 90955

A month of a kidney specialist's management of a child with end-stage kidney failure who is on dialysis, covering review of the dialysis plan, blood results, growth, diet, blood pressure and medicines, along with in-person visits during that month. It is charged once for the full month rather than per visit. It covers the doctor's ongoing oversight, not the dialysis treatment sessions themselves.

Rates data updated October 2026.

How much does Monthly Kidney Failure Care For A Child cost?

$417

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $537 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$363 to $525
FacilityA hospital or hospital-owned outpatient department$537$447 to $575

How much rates vary

Facilitymedian $537 · 10th to 90th $389 to $575Professionalmedian $417 · 10th to 90th $355 to $692
$500$1Kfacility $537professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$363.08
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$177.83
Median
$181.97
Typical High
$257.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$72.44
Median
$72.44
Typical High
$102.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$53.70
Median
$54.95
Typical High
$77.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$35.48
Median
$36.31
Typical High
$51.29
AvMed
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$562.34
Typical High
$575.44
AvMed
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$371.54
Typical High
$645.65
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$457.09
Typical High
$630.96
Molina
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$562.34
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$407.38
Typical High
$660.69
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where Florida sits

The same service costs 3.2 times more in Alaska than in New York. 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.

Florida· 50th of 51

$417

AK $1,288NY $398

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.