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Monthly ESRD Care, Adult, 4+ Visits

Tennessee 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?

$347

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $316 to $2,344.

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.

How much rates vary

Facilitymedian $692 · 10th to 90th $339 to $832Professionalmedian $347 · 10th to 90th $275 to $3,162
$500$1K$2Kfacility $692professional $347

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$691.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$346.74
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$354.81
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$309.03
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$831.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$512.86
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$302.00
Typical High
$562.34

Where Tennessee 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.

Tennessee· 37th of 51

$347

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.