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Monthly Kidney Care for a Dialysis Patient

New Jersey 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?

$490

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $417 to $603.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $468 · 10th to 90th $468 to $891Professionalmedian $490 · 10th to 90th $372 to $813
$200.0$500.0$1.0K$2.0Kfacility $468professional $490

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
$467.74
Median
$467.74
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,096.48
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$933.25

Where New Jersey 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.

New Jersey $490 · 39th 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.