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Monthly Kidney Disease Management, Adult Patient

Idaho 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?

$316

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $389 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$269 to $372
FacilityA hospital or hospital-owned outpatient department$389$316 to $457

How much rates vary

Facilitymedian $389 · 10th to 90th $263 to $617Professionalmedian $316 · 10th to 90th $224 to $550
$50.0$100.0$200.0$500.0$1.0Kfacility $389professional $316

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$537.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$616.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$660.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$562.34

Where Idaho 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.

Idaho $316 · 17th 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.