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Monthly Kidney Failure Care Management For A Younger Patient

New Jersey 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?

$324

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $282 to $398.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $302 · 10th to 90th $302 to $575Professionalmedian $324 · 10th to 90th $240 to $537
$500$1Kfacility $302professional $324

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
$302.00
Median
$302.00
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$707.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$707.95
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$616.60

Where New Jersey 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.

New Jersey· 37th of 51

$324

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.