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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 October 2026.

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

$302

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $240 to $372.

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 $240 · 10th to 90th $240 to $240Professionalmedian $302 · 10th to 90th $204 to $427
$50$100$200$500facility $240professional $302

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
$239.88
Median
$346.74
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$302.00
Typical High
$302.00
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$208.93
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$323.59
Typical High
$426.58
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$416.87
Typical High
$416.87
Providence
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$331.13
Typical High
$436.52
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$338.84
Typical High
$467.74

Where New Mexico 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.

New Mexico· 29th of 51

$302

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.