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Monthly Kidney Disease Management, Adult Patient

Washington, DC 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?

$275

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $219 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $275 · 10th to 90th $275 to $275Professionalmedian $275 · 10th to 90th $65 to $479
$100.0$200.0$500.0$1.0Kfacility $275professional $275

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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$275.42
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$758.58

Where Washington, DC 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.

Washington, DC $275 · 45th 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.