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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 October 2026.

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

$437

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $437 for this service. Most negotiated rates run $417 to $490.

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 $437 to $468Professionalmedian $437 · 10th to 90th $372 to $603
$500$1Kfacility $468professional $437

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$213.80
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$87.10
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$64.57
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$42.66
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$426.58
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$776.25
Typical High
$851.14
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$489.78
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$416.87
Typical High
$524.81

Where New Jersey 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.

New Jersey· 47th of 51

$437

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.