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Monthly Kidney Disease Management, Adult Patient

Arkansas 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?

$288

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $355 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 7 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$288$234 to $316
FacilityA hospital or hospital-owned outpatient department$355$309 to $380

How much rates vary

Facilitymedian $355 · 10th to 90th $302 to $398Professionalmedian $288 · 10th to 90th $219 to $479
$100.0$200.0$500.0$1.0Kfacility $355professional $288

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$316.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$489.78
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$478.63

Where Arkansas sits

The same service costs 2.1 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arkansas $288 · 37th of 51
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.