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Monthly Kidney Failure Care Management For A Younger Patient

Maryland 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?

$316

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $316 for this service. Most negotiated rates run $295 to $347.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $234 to $234Professionalmedian $316 · 10th to 90th $251 to $427
$500$1Kfacility $234professional $316

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
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$616.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$501.19

Where Maryland 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.

Maryland· 42nd of 51

$316

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.