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Monthly ESRD Care, Adult, 4+ Visits

Florida 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 October 2026.

How much does Monthly ESRD Care, Adult, 4+ Visits cost?

$288

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $372 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$245 to $355
FacilityA hospital or hospital-owned outpatient department$372$309 to $398

How much rates vary

Facilitymedian $372 · 10th to 90th $240 to $398Professionalmedian $288 · 10th to 90th $224 to $447
$200$500$1Kfacility $372professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$223.87
Median
$223.87
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$239.88
Typical High
$407.38
Ambetter
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$346.74
Typical High
$371.54
AvMed
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$389.05
Typical High
$398.11
AvMed
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$316.23
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$257.04
Typical High
$426.58
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$295.12
Typical High
$436.52
Molina
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$380.19
Typical High
$794.33
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$257.04
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40

Where Florida sits

The same service costs 2.8 times more in Alaska than in New York. 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.

Florida· 50th of 51

$288

AK $794NY $282

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.