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Monthly Kidney Failure Care Management For A Younger Patient

Utah 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?

$380

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $316 to $447.

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 $339 · 10th to 90th $302 to $832Professionalmedian $380 · 10th to 90th $295 to $646
$50$100$200$500$1Kfacility $339professional $380

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
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$501.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$549.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$870.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$467.74
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$501.19

Where Utah 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.

Utah· 15th of 51

$380

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.