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Monthly Kidney Disease Management, Adult Patient

Kentucky 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.

Facilitymedian $363 · 10th–90th $269$5250%10%20%10th90th$363Professionalmedian $275 · 10th–90th $195$4470%10%10th90th$275$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$331.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$436.52
CareSource
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$478.63