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Monthly Kidney Failure Care Management For A Younger Patient

Iowa 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?

$417

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $447 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$417$324 to $603
FacilityA hospital or hospital-owned outpatient department$447$372 to $692

How much rates vary

Facilitymedian $447 · 10th to 90th $309 to $759Professionalmedian $417 · 10th to 90th $309 to $832
$500$1K$2Kfacility $447professional $417

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
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$616.60
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$794.33
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$870.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$707.95

Where Iowa 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.

Iowa· 10th of 51

$417

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.