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Monthly Kidney Failure Care Management For A Younger Patient

Colorado rates for HCPCS 90959

This covers a physician's ongoing monthly management of a child or teenager with kidney failure who is on dialysis, including overseeing the dialysis plan, reviewing lab results, and adjusting treatment over the course of a month. It reflects a month in which the physician had a certain number of in-person visits with the patient as part of that oversight. This is a management fee for physician oversight rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Monthly Kidney Failure Care Management For A Younger Patient cost?

$347

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $417 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 7 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$347$302 to $407
FacilityA hospital or hospital-owned outpatient department$417$347 to $513

How much rates vary

Facilitymedian $417 · 10th to 90th $302 to $646Professionalmedian $347 · 10th to 90th $251 to $501
$500$1Kfacility $417professional $347

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
$251.19
Median
$338.84
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$602.56
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$1,047.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$602.56

Where Colorado sits

The same service costs 2.5 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.

Colorado· 21st of 51

$347

MN $741VT $295

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.