go back

Monthly Kidney Disease Management, Adult Patient

Missouri 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.

Facilitymedian $363 · 10th–90th $269$6920%10%10th90th$363Professionalmedian $316 · 10th–90th $224$6610%10%20%10th90th$316$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$776.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$691.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$512.86