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Monthly ESRD Care, Adult, 4+ Visits

South Carolina 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 physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $302 to $407.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $407 · 10th to 90th $309 to $646Professionalmedian $347 · 10th to 90th $245 to $468
$100$200$500$1Kfacility $407professional $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
$245.47
Median
$346.74
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$512.86

Where South Carolina 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.

South Carolina· 35th 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.