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Monthly ESRD Care, Adult, 4+ Visits

Michigan 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?

$398

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $457 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$398$324 to $575
FacilityA hospital or hospital-owned outpatient department$457$457 to $457

How much rates vary

Facilitymedian $457 · 10th to 90th $417 to $813Professionalmedian $398 · 10th to 90th $282 to $617
$500facility $457professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$398.11
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$575.44
Typical High
$616.60
CareSource
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$457.09
Typical High
$537.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$338.84
Typical High
$616.60
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$812.83
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$371.54
Typical High
$416.87
Priority Health
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$331.13
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$309.03
Typical High
$346.74

Where Michigan 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.

Michigan· 23rd of 51

$398

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.