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Monthly Kidney Disease Management, Adult Patient

Hawaii 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?

$355

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $316 to $372.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $355 · 10th to 90th $282 to $372
$500professional $355

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$281.84
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
HMSA
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$323.59
Typical High
$346.74
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$141.25
Median
$162.18
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$389.05
Typical High
$478.63
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$371.54
Typical High
$371.54
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$363.08
Typical High
$363.08

Where Hawaii 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.

Hawaii· 16th of 51

$355

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.