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Monthly Kidney Disease Management, Adult Patient

Maine 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?

$372

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $372 for this service. Most negotiated rates run $269 to $603.

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

Professionalmedian $372 · 10th to 90th $224 to $813
$100.0$200.0$500.0$1.0Kprofessional $372

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
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$660.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$295.12
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$812.83

Where Maine 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.

Maine $372 · 4th 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.