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Monthly ESRD Care, Adult, 4+ Visits

Texas 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 $417 · 10th–90th $324$7240%10%10th90th$417Professionalmedian $347 · 10th–90th $269$5130%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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$562.34
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$676.08
Christus
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$660.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,884.03
Typical High
$2,884.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$660.69
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$512.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$501.19