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Monthly Kidney Care for a Dialysis Patient

Massachusetts 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?

$550

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $407 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 7 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$562$457 to $1,047
FacilityA hospital or hospital-owned outpatient department$407$372 to $631

How much rates vary

Facilitymedian $407 · 10th to 90th $288 to $851Professionalmedian $562 · 10th to 90th $389 to $1,380
$200.0$500.0$1.0K$2.0Kfacility $407professional $562

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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$1,174.90
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$707.95
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$1,348.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$870.96
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$870.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$977.24
Typical High
$1,412.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$707.95
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$1,445.44

Where Massachusetts 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.

Massachusetts $550 · 17th 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.