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Monthly Kidney Failure Care Management For A Younger Patient

Texas 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 negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $398 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 11 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$324$302 to $372
FacilityA hospital or hospital-owned outpatient department$398$339 to $525

How much rates vary

Facilitymedian $398 · 10th to 90th $302 to $692Professionalmedian $324 · 10th to 90th $257 to $457
$500$1K$2Kfacility $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
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$512.86
Christus
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,630.27
Typical High
$2,630.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$457.09

Where Texas 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.

Texas· 36th 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.