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Monthly Kidney Failure Care Management For A Younger Patient

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $302 to $380.

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 $302 to $631Professionalmedian $324 · 10th to 90th $257 to $437
$50$100$200$500facility $398professional $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
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$512.86

Where South Carolina 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.

South Carolina· 38th 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.