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Monthly Kidney Failure Care Management For A Younger Patient

New Mexico 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?

$331

Typical physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $295 to $389.

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 $398 · 10th to 90th $316 to $589Professionalmedian $316 · 10th to 90th $263 to $513
$50$100$200$500$1Kfacility $398professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$602.56

Where New Mexico 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 Mexico· 30th of 51

$331

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.