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Monthly Kidney Failure Care For A Child

New York 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 July 2026.

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

$603

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $603 for this service. Most negotiated rates run $550 to $676.

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.

How much rates vary

Facilitymedian $603 · 10th to 90th $501 to $955
$500$1Kfacility $603

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
$501.19
Median
$602.56
Typical High
$954.99
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$1,380.38
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$489.78
Typical High
$1,148.15

Where New York sits

The same service costs 7.6 times more in Tennessee than in Massachusetts. 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.

New York· 32nd of 46

$603

TN $3,311MA $437

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.