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Monthly Kidney Disease Management, Adult Patient

Louisiana 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?

$288

Typical physician fee. In Louisiana, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $245 to $331.

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

Facilitymedian $288 · 10th to 90th $288 to $295Professionalmedian $295 · 10th to 90th $204 to $447
$5.0$20.0$100.0$500.0facility $288professional $295

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$363.08
Christus
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$416.87

Where Louisiana 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.

Louisiana $288 · 42nd 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.