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Monthly Kidney Disease Management, Adult Patient

Colorado 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?

$380

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $324 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$309 to $479
FacilityA hospital or hospital-owned outpatient department$324$302 to $437

How much rates vary

Facilitymedian $324 · 10th to 90th $251 to $589Professionalmedian $380 · 10th to 90th $269 to $603
$200$500$1Kfacility $324professional $380

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$323.59
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$436.52
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$295.12
Typical High
$467.74
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$323.59
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$436.52
Typical High
$691.83
Select Health
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$316.23
Typical High
$660.69
Select Health
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$316.23
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$302.00
Typical High
$467.74

Where Colorado 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.

Colorado· 15th of 51

$380

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.