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Monthly Kidney Disease Management, Adult Patient

Nevada 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?

$288

Typical physician fee. In Nevada, October 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $229 to $331.

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 $309 · 10th to 90th $302 to $4,266Professionalmedian $288 · 10th to 90th $191 to $389
$10$100$1Kfacility $309professional $288

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
$302.00
Median
$302.00
Typical High
$331.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$302.00
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$269.15
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$331.13
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$194.98
Typical High
$346.74
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$1.74
Median
$234.42
Typical High
$398.11
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$1.74
Median
$1.74
Typical High
$467.74
Select Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$275.42
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$245.47
Typical High
$371.54

Where Nevada 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.

Nevada· 37th of 51

$288

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.