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Monthly Kidney Disease Management, Adult Patient

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $282 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $562 · 10th to 90th $457 to $708Professionalmedian $295 · 10th to 90th $234 to $363
$200$500$1Kfacility $562professional $295

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
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$323.59
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$562.34
Typical High
$691.83
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$245.47
Typical High
$363.08

Where Rhode Island 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.

Rhode Island· 30th 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.