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Monthly Kidney Failure Care For Ages 12 To 19

South Dakota 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 July 2026.

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

$1,047

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $776 to $1,349.

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 $1,380 · 10th to 90th $724 to $1,778Professionalmedian $1,023 · 10th to 90th $759 to $1,622
$1K$2K$5Kfacility $1,380professional $1,023

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,479.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$1,737.80

Where South Dakota sits

The same service costs 2.8 times more in Minnesota than in Vermont. 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

$1,047

MN $1,660VT $603

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.