go back

Monthly Kidney Failure Care Management For A Younger Patient

Montana 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?

$447

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $550 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$339$295 to $550
FacilityA hospital or hospital-owned outpatient department$550$457 to $562

How much rates vary

Facilitymedian $550 · 10th to 90th $363 to $617Professionalmedian $339 · 10th to 90th $234 to $794
$100$200$500$1Kfacility $550professional $339

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
$234.42
Median
$295.12
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$977.24
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$602.56
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$512.86
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$575.44

Where Montana 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.

Montana· 6th of 51

$447

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.