go back

Monthly Kidney Care for a Dialysis Patient

Delaware rates for HCPCS 90958

A month of oversight by the kidney doctor for someone with end-stage kidney disease who is on dialysis. It covers reviewing how dialysis is going, checking laboratory results, adjusting medicines, and managing diet, fluid, blood pressure, anemia, and bone health — not the dialysis treatment itself.

Rates data updated October 2026.

How much does Monthly Kidney Care for a Dialysis Patient cost?

$468

Typical physician fee. In Delaware, October 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $427 to $513.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $513 · 10th to 90th $513 to $871Professionalmedian $468 · 10th to 90th $363 to $562
$500$1Kfacility $513professional $468

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
$512.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$512.86
Typical High
$537.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$229.09
Median
$257.04
Typical High
$269.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$91.20
Median
$102.33
Typical High
$107.15
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$67.61
Median
$77.62
Typical High
$79.43
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$45.71
Median
$51.29
Typical High
$53.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$478.63
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$562.34

Where Delaware 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.

Delaware· 45th of 51

$468

AK $1,202NY $380

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.