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Monthly Kidney Care for a Dialysis Patient

Illinois 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?

$513

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,820 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$457 to $676
FacilityA hospital or hospital-owned outpatient department$1,820$1,175 to $4,467

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,000 to $7,586Professionalmedian $513 · 10th to 90th $437 to $832
$50$200$1K$5Kfacility $1,820professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$512.86
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$72.44
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$47.86
Median
$51.29
Typical High
$51.29
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,089.30
Typical High
$7,762.47
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$562.34
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$524.81
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$707.95
Typical High
$1,584.89
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$616.60
Typical High
$660.69
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$489.78
Typical High
$794.33

Where Illinois 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.

Illinois· 32nd of 51

$513

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.