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Monthly ESRD Care, Adult, 4+ Visits

Massachusetts 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 $288 · 10th–90th $195$6310%10%20%10th90th$288Professionalmedian $407 · 10th–90th $269$9330%5%10%10th90th$407$50.0$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
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$616.60
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$954.99
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$616.60
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$630.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$707.95
Typical High
$1,023.29
Health New England
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$630.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$2,344.23
Tufts
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$549.54
Typical High
$1,047.13