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Monthly Kidney Care for a Dialysis Patient

New York 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?

$537

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $589 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 9 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$537$427 to $813
FacilityA hospital or hospital-owned outpatient department$589$537 to $646

How much rates vary

Facilitymedian $589 · 10th to 90th $490 to $912Professionalmedian $537 · 10th to 90th $372 to $1,288
$200$500$1K$2Kfacility $589professional $537

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
$489.78
Median
$588.84
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$870.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
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
$630.96
Typical High
$1,548.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,071.52
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$537.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$1,047.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$2,884.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$467.74
Typical High
$1,096.48
Univera
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$1,071.52

Where New York sits

The same service costs 2.8 times more in Minnesota than in Vermont. 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 York· 19th of 51

$537

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.