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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 October 2026.

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

$257

Typical physician fee. In Delaware, October 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $234 to $302.

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

Facilitymedian $302 · 10th to 90th $302 to $525Professionalmedian $257 · 10th to 90th $200 to $339
$200$500facility $302professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$302.00
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$281.84
Typical High
$363.08
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$354.81
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$208.93
Typical High
$302.00

Where Delaware sits

The same service costs 2.8 times more in Alaska than in New York. 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· 48th of 51

$257

AK $661NY $234

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.