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Monthly Kidney Disease Management, Adult Patient

Maryland 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?

$302

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $251 to $347.

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 $191 · 10th to 90th $191 to $191Professionalmedian $302 · 10th to 90th $209 to $550
$100.0$200.0$500.0$1.0Kfacility $191professional $302

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
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$616.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$549.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$457.09

Where Maryland 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.

Maryland $302 · 30th 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.