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Monthly Kidney Disease Management, Adult Patient

Connecticut 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?

$309

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $263 to $447.

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 $741 · 10th to 90th $741 to $741Professionalmedian $309 · 10th to 90th $219 to $832
$100$200$500$1Kfacility $741professional $309

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
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$758.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$616.60
Health New England
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$758.58

Where Connecticut 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.

Connecticut· 18th of 51

$309

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.