go back

Monthly Kidney Disease Management, Adult Patient

Nebraska 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?

$603

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,318 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$589$417 to $676
FacilityA hospital or hospital-owned outpatient department$1,318$933 to $1,698

How much rates vary

Facilitymedian $1,318 · 10th to 90th $525 to $2,951Professionalmedian $589 · 10th to 90th $355 to $794
$500$1K$2Kfacility $1,318professional $589

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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$295.12
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$602.56
Typical High
$630.96
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,513.56
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$602.56
Typical High
$724.44
Medica
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$524.81
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$660.69
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$616.60
Typical High
$776.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$630.96
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$575.44
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$562.34
Typical High
$707.95

Where Nebraska 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.

Nebraska· 2nd of 51

$603

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.