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Monthly Kidney Disease Management, Adult Patient

Iowa 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?

$550

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $363 to $646.

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 $537 · 10th to 90th $295 to $776Professionalmedian $550 · 10th to 90th $295 to $776
$500$1Kfacility $537professional $550

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
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$363.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$562.34
Typical High
$776.25
Hally Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$354.81
Typical High
$724.44
Medica
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$537.03
Typical High
$776.25
Medica
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$549.54
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$562.34
Typical High
$794.33
Midlands
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$776.25
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$575.44
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$371.54
Typical High
$645.65
Wellmark
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$645.65

Where Iowa 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.

Iowa· 5th of 51

$550

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.