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Monthly Kidney Disease Management, Adult Patient

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $245 to $347.

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 $347 · 10th to 90th $269 to $525Professionalmedian $302 · 10th to 90th $209 to $447
$50$100$200$500$1Kfacility $347professional $302

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
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$489.78

Where New Mexico sits

The same service costs 2.1 times more in Minnesota than in Vermont. 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.

New Mexico· 23rd of 51

$302

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.