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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 October 2026.

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

$562

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $550 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$562$417 to $776
FacilityA hospital or hospital-owned outpatient department$550$324 to $1,072

How much rates vary

Facilitymedian $550 · 10th to 90th $324 to $1,778Professionalmedian $562 · 10th to 90th $309 to $977
$200$500$1K$2Kfacility $550professional $562

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
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$323.59
Typical High
$363.08
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$575.44
Typical High
$1,995.26
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$616.60
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,023.29
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$676.08
Typical High
$1,122.02
Health Partners
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$977.24
Typical High
$2,290.87
Health Partners
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$645.65
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$512.86
Typical High
$676.08
Medica
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$562.34
Typical High
$1,905.46
United
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$436.52
Typical High
$831.76

Where Minnesota 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.

Minnesota· 3rd of 51

$562

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.