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Monthly Kidney Disease Management, Adult Patient

Minnesota 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?

$501

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $603 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$501$302 to $851
FacilityA hospital or hospital-owned outpatient department$603$355 to $955

How much rates vary

Facilitymedian $603 · 10th to 90th $316 to $2,291Professionalmedian $501 · 10th to 90th $234 to $1,047
$100.0$200.0$500.0$1.0K$2.0Kfacility $603professional $501

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
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$812.83
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$794.33
Typical High
$1,230.27
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,148.15
Typical High
$2,290.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$537.03
Typical High
$912.01

Where Minnesota 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.

Minnesota $501 · 1st 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.