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Monthly Kidney Disease Management, Adult Patient

Alaska 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.

How much does Monthly Kidney Disease Management, Adult Patient cost?

$427

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $398 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$288 to $955
FacilityA hospital or hospital-owned outpatient department$398$324 to $550

How much rates vary

Facilitymedian $398 · 10th to 90th $275 to $692Professionalmedian $457 · 10th to 90th $229 to $1,380
$200$500$1K$2Kfacility $398professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$891.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$660.69
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,995.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$660.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$436.52
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$1,047.13

Where Alaska sits

The same service costs 2.1 times more in Minnesota than in Vermont. 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.

Alaska· 2nd of 51

$427

MN $501VT $240

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.