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Monthly Kidney Disease Management, Adult Patient

Nationwide rates for HCPCS 90961

This covers a month of ongoing outpatient management for an adult with end-stage kidney disease, including a defined number of in-person check-ins with the treating clinician during that month along with related care coordination. It reflects one of several tiers of this monthly service that differ by how many in-person visits occurred.

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $263$6030%20%10th90th$355Professionalmedian $302 · 10th–90th $204$6030%20%10th90th$302$1.0$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
$245.47
Median
$346.74
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$758.58