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Monthly Kidney Failure Care Management For A Younger Patient

South Dakota 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?

$457

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $457 for this service. Most negotiated rates run $347 to $603.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $550 · 10th to 90th $309 to $759Professionalmedian $447 · 10th to 90th $324 to $692
$500$1K$2Kfacility $550professional $447

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$741.31

Where South Dakota 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 Dakota· 5th of 51

$457

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.