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Monthly Kidney Failure Care For Ages 12 To 19

Florida rates for HCPCS 90957

Monthly care for a patient aged 12 to 19 with kidney failure. It includes four or more in-person visits during the month, monitoring of nutrition and growth, and counseling for parents. One month of care is covered by the charge.

Rates data updated October 2026.

How much does Monthly Kidney Failure Care For Ages 12 To 19 cost?

$617

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $794 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$537 to $776
FacilityA hospital or hospital-owned outpatient department$794$661 to $851

How much rates vary

Facilitymedian $794 · 10th to 90th $550 to $851Professionalmedian $617 · 10th to 90th $513 to $1,000
$500$1K$2Kfacility $794professional $617

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
$512.86
Median
$512.86
Typical High
$562.34
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$549.54
Typical High
$812.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$251.19
Median
$257.04
Typical High
$371.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$100.00
Median
$102.33
Typical High
$147.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$75.86
Median
$77.62
Typical High
$112.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$50.12
Median
$51.29
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
AvMed
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$831.76
Typical High
$851.14
AvMed
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$691.83
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$562.34
Typical High
$933.25
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$660.69
Typical High
$933.25
Molina
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$831.76
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$575.44
Typical High
$933.25
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60

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

$617

AK $1,778NY $562

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.