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Monthly Kidney Disease Management, Adult Patient

North Dakota 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?

$550

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $302 to $708.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $240 · 10th to 90th $240 to $417Professionalmedian $550 · 10th to 90th $240 to $794
$200$500$1Kfacility $240professional $550

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$245.47
Typical High
$676.08
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$691.83
Typical High
$812.83
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$112.20
Median
$138.04
Typical High
$162.18
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$56.23
Median
$69.18
Typical High
$81.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$562.34
Typical High
$794.33
Medica
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$724.44
Medica
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$416.87
Typical High
$1,905.46
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$354.81
Typical High
$512.86

Where North Dakota 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.

North Dakota· 4th of 51

$550

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.