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Monthly Kidney Disease Management, Adult Patient

Massachusetts 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 $240 · 10th–90th $162$5250%10%20%10th90th$240Professionalmedian $347 · 10th–90th $219$8510%10%10th90th$347$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$851.14
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$794.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$512.86
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$512.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$851.14
Health New England
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$489.78
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$1,905.46
Tufts
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$870.96