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Monthly ESRD Care, Adult, 4+ Visits

Indiana 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.

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

$347

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $427 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 6 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$347$309 to $407
FacilityA hospital or hospital-owned outpatient department$427$363 to $468

How much rates vary

Facilitymedian $427 · 10th to 90th $324 to $589Professionalmedian $347 · 10th to 90th $263 to $479
$100$200$500$1Kfacility $427professional $347

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
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$457.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$478.63

Where Indiana sits

The same service costs 1.9 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.

Indiana· 33rd of 51

$347

MN $562VT $288

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.