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Monthly ESRD Care, Adult, 4+ Visits

New Jersey 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 $309 · 10th–90th $309$6310%50%90th$309Professionalmedian $347 · 10th–90th $229$5250%10%20%10th90th$347$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
$309.03
Median
$309.03
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$371.54
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$794.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$630.96