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Monthly Kidney Disease Management, Adult Patient

Kansas 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?

$331

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $347 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 6 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$331$275 to $355
FacilityA hospital or hospital-owned outpatient department$347$288 to $427

How much rates vary

Facilitymedian $347 · 10th to 90th $269 to $661Professionalmedian $331 · 10th to 90th $245 to $437
$5.0$20.0$100.0$500.0facility $347professional $331

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
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$660.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$467.74

Where Kansas 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.

Kansas $331 · 11th 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.