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 July 2026.

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

$302

Typical physician fee. In Nebraska, July 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $245 to $513.

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.

How much rates vary

Facilitymedian $417 · 10th to 90th $269 to $589Professionalmedian $295 · 10th to 90th $234 to $646
$200.0$500.0$1.0Kfacility $417professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$724.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$691.83

Where Nebraska sits

The same service costs 2.1 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $302 · 21st of 51
MN $501VT $240

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.