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Monthly Kidney Failure Care Management For A Younger Patient

Minnesota 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?

$741

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $676 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 6 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$741$437 to $1,047
FacilityA hospital or hospital-owned outpatient department$676$417 to $1,047

How much rates vary

Facilitymedian $676 · 10th to 90th $347 to $2,512Professionalmedian $741 · 10th to 90th $302 to $1,175
$500$1K$2Kfacility $676professional $741

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$891.25
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$870.96
Typical High
$1,380.38
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$954.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$575.44
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$1,071.52

Where Minnesota 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.

Minnesota· 1st of 51

$741

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.