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Monthly Kidney Care for a Dialysis Patient

Missouri 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?

$513

Typical negotiated rate. In Missouri, July 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 $631 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 6 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$513$457 to $617
FacilityA hospital or hospital-owned outpatient department$631$513 to $851

How much rates vary

Facilitymedian $631 · 10th to 90th $457 to $1,202Professionalmedian $513 · 10th to 90th $407 to $912
$500.0$1.0K$2.0Kfacility $631professional $513

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
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$912.01

Where Missouri 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.

Missouri $513 · 23rd 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.