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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.

Facilitymedian $275 · 10th–90th $275$2750%50%$275Professionalmedian $275 · 10th–90th $65$4790%20%10th90th$275$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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