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Monthly ESRD Care, Adult, 4+ Visits

Nationwide rates for HCPCS 90960

This covers a full month of physician management for a patient age 20 or older receiving ongoing care for end-stage kidney disease, including at least four face-to-face visits during the month. It covers the physician oversight of the patient's kidney disease management rather than the dialysis treatments themselves.

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $316$7240%20%10th90th$437Professionalmedian $372 · 10th–90th $251$6610%20%10th90th$372$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$630.96
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$794.33