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Monthly Kidney Disease Management, Adult Patient

Georgia 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?

$302

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $251 to $427.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $269 to $398Professionalmedian $302 · 10th to 90th $68 to $575
$1.0$10.0$100.0$1.0Kfacility $355professional $302

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
Professional
Modifier
Global
Typical Low
$63.10
Median
$302.00
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$489.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$588.84

Where Georgia 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.

Georgia $302 · 29th 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.