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Nationwide rates for HCPCS 90956

End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month

Facilitymedian $457 · 10th–90th $324–$7590%20%10th90th$457Professionalmedian $363 · 10th–90th $282–$7410%20%40%10th90th$363$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $467.74 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $562.34 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $758.58

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