go back

Monthly Kidney Failure Care Management For A Younger Patient

Nebraska 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?

$363

Typical physician fee. In Nebraska, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $302 to $550.

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.

How much rates vary

Facilitymedian $479 · 10th to 90th $295 to $692Professionalmedian $355 · 10th to 90th $275 to $708
$500$1K$2Kfacility $479professional $355

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
$316.23
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$645.65
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$776.25

Where Nebraska 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.

Nebraska· 19th of 51

$363

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.