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Monthly ESRD Care, Adult, 4+ Visits

Washington 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 $575 · 10th–90th $331$8320%10%10th90th$575Professionalmedian $389 · 10th–90th $95$7240%10%10th90th$389$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
$630.96
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$371.54
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$933.25
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$1,047.13
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$478.63
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$691.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$1,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$794.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$407.38
Typical High
$776.25