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Monthly Kidney Failure Care Management For A Younger Patient

Oregon 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?

$537

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $537 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 8 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$537$347 to $724
FacilityA hospital or hospital-owned outpatient department$537$380 to $646

How much rates vary

Facilitymedian $537 · 10th to 90th $331 to $646Professionalmedian $537 · 10th to 90th $302 to $871
$100$200$500$1Kfacility $537professional $537

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
$295.12
Median
$346.74
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$851.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$691.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$831.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$616.60
Typical High
$870.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$870.96

Where Oregon 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.

Oregon· 4th of 51

$537

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.