go back

Monthly Kidney Disease Management, Adult Patient

Delaware 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.

Professionalmedian $275 · 10th–90th $240$3720%20%10th90th$275$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$537.03
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$537.03