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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.

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

$275

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $245 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $275 · 10th to 90th $240 to $372
$200$500professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Delaware 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.

Delaware· 44th of 51

$275

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.