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Monthly Kidney Disease Management, Adult Patient

Montana 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?

$447

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $525 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$427$347 to $457
FacilityA hospital or hospital-owned outpatient department$525$457 to $550

How much rates vary

Facilitymedian $525 · 10th to 90th $331 to $589Professionalmedian $427 · 10th to 90th $191 to $525
$100$200$500facility $525professional $427

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
Professional
Modifier
None
Typical Low
$218.78
Median
$295.12
Typical High
$416.87
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$457.09
Typical High
$457.09
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$537.03
Typical High
$588.84
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$524.81
Typical High
$562.34
Providence
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$549.54
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$457.09
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$446.68

Where Montana 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.

Montana· 8th of 51

$447

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.