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Monthly Kidney Care for a Dialysis Patient

Ohio 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 negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $479 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 8 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$490$427 to $575
FacilityA hospital or hospital-owned outpatient department$479$479 to $562

How much rates vary

Facilitymedian $479 · 10th to 90th $479 to $871Professionalmedian $490 · 10th to 90th $372 to $708
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $479professional $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. 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
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$776.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$616.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$1,071.52
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$851.14

Where Ohio 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.

Ohio $490 · 40th 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.