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Monthly ESRD Care, Adult, 4+ Visits

Wisconsin 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 $389 · 10th–90th $302$1,0720%10%20%10th90th$389Professionalmedian $380 · 10th–90th $269$1,0470%10%10th90th$380$5.0$20.0$100.0$500.0$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
$380.19
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$501.19
Typical High
$1,148.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$616.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$851.14
Typical High
$1,023.29
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$724.44
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$912.01
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,230.27
Quartz
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$2,238.72
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,479.11
Typical High
$2,344.23
Security Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Security Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$446.68
Typical High
$1,479.11