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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 October 2026.

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

$324

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $288 to $468.

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 $269 · 10th to 90th $269 to $309Professionalmedian $324 · 10th to 90th $245 to $631
$200$500$1Kfacility $269professional $324

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
$269.15
Median
$269.15
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$309.03
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$436.52
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$323.59
Typical High
$549.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$371.54
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$354.81
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$346.74
Typical High
$467.74
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$549.54
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$354.81
Typical High
$851.14

Where Georgia 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.

Georgia· 23rd of 51

$324

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.