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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 July 2026.

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

$302

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $363 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$302$245 to $347
FacilityA hospital or hospital-owned outpatient department$363$295 to $447

How much rates vary

Facilitymedian $363 · 10th to 90th $269 to $550Professionalmedian $302 · 10th to 90th $186 to $501
$50$100$200$500$1Kfacility $363professional $302

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
$63.10
Median
$288.40
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$524.81
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$549.54

Where Colorado 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.

Colorado· 24th of 51

$302

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.