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Monthly Kidney Disease Management, Adult Patient

Alabama 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?

$295

Typical physician fee. In Alabama, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $224 to $363.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $295 · 10th to 90th $155 to $513
$100$200$500professional $295

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
Professional
Modifier
Global
Typical Low
$109.65
Median
$302.00
Typical High
$512.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$389.05

Where Alabama 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.

Alabama· 34th of 51

$295

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.