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Monthly Kidney Failure Care For A Child

South Dakota 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?

$891

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $759 to $1,096.

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 $871 · 10th to 90th $589 to $1,096Professionalmedian $891 · 10th to 90th $537 to $1,202
$500$1K$2Kfacility $871professional $891

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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$891.25
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$870.96
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$912.01
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$758.58
Typical High
$1,000.00
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$831.76
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,174.90

Where South Dakota 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.

South Dakota· 6th of 51

$891

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.