Monthly Kidney Failure Care Management For A Younger Patient
Rhode Island 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 Rhode Island, July 2026.
Insurers have agreed to pay about $363 for this service. Most negotiated rates run $302 to $363.
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 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $708 · 10th to 90th $661 to $1,230Professionalmedian $363 · 10th to 90th $295 to $417
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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$407.38
Professional
Global
$295.12
$363.08
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$776.25
Facility
Global
$660.69
$707.95
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$537.03
Professional
Global
$316.23
$371.54
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Facility
Global
$1,230.27
$1,230.27
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$676.08
Professional
Global
$309.03
$398.11
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$588.84
Professional
Global
$269.15
$354.81
$588.84
Where Rhode Island 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.