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Monthly Kidney Disease Management, Adult Patient

Michigan 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 October 2026.

How much does Monthly Kidney Disease Management, Adult Patient cost?

$331

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $380 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$269 to $479
FacilityA hospital or hospital-owned outpatient department$380$380 to $380

How much rates vary

Facilitymedian $380 · 10th to 90th $339 to $676Professionalmedian $331 · 10th to 90th $234 to $513
$200$500facility $380professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$331.13
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$302.00
Typical High
$302.00
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$478.63
Typical High
$512.86
CareSource
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$380.19
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$281.84
Typical High
$501.19
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$676.08
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$309.03
Typical High
$346.74
Priority Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$275.42
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$257.04
Typical High
$295.12

Where Michigan sits

The same service costs 2.8 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 22nd of 51

$331

AK $661NY $234

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.