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Monthly Kidney Disease Management, Adult Patient

New Hampshire 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?

$407

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $309 to $603.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $708 · 10th to 90th $148 to $708Professionalmedian $407 · 10th to 90th $240 to $759
$100.0$200.0$500.0$1.0Kfacility $708professional $407

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. 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
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$758.58
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$831.76
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$346.74

Where New Hampshire 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.

New Hampshire $407 · 3rd 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.