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Monthly Kidney Disease Management, Adult Patient

Oklahoma 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?

$288

Typical physician fee. In Oklahoma, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $269 to $363.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $295 · 10th to 90th $240 to $562Professionalmedian $288 · 10th to 90th $224 to $407
$200$500$1Kfacility $295professional $288

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
$208.93
Median
$275.42
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$436.52

Where Oklahoma 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.

Oklahoma· 35th of 51

$288

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.