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Monthly Kidney Care for a Dialysis Patient

Iowa 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 July 2026.

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

$646

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $692 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$646$501 to $912
FacilityA hospital or hospital-owned outpatient department$692$562 to $1,023

How much rates vary

Facilitymedian $692 · 10th to 90th $468 to $1,148Professionalmedian $646 · 10th to 90th $468 to $1,349
$500.0$1.0K$2.0Kfacility $692professional $646

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$912.01
Typical High
$1,318.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,348.96
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$851.14
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,348.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$933.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$1,202.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,071.52

Where Iowa sits

The same service costs 2.8 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $646 · 8th of 51
MN $1,122VT $407

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.