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Monthly Kidney Disease Management, Adult Patient

Arizona 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 October 2026.

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

$269

Typical physician fee. In Arizona, October 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $229 to $309.

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.

How much rates vary

Facilitymedian $891 · 10th to 90th $257 to $1,585Professionalmedian $269 · 10th to 90th $214 to $1,905
$200$500$1Kfacility $891professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$269.15
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$257.04
Typical High
$302.00
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$977.24
Typical High
$1,584.89
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$436.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$288.40
Typical High
$371.54
Medica
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$295.12
Typical High
$676.08
Medica
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$288.40
Typical High
$1,905.46
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$229.09
Typical High
$323.59

Where Arizona sits

The same service costs 2.8 times more in Alaska than in New York. 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.

Arizona· 45th of 51

$269

AK $661NY $234

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.