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Monthly ESRD Care, Adult, 4+ Visits

Iowa 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 $490 · 10th–90th $324$7940%10%10th90th$490Professionalmedian $407 · 10th–90th $302$8320%10%10th90th$407$100.0$200.0$500.0$1.0K$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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$933.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$794.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$954.99
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$776.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$776.25