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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 July 2026.

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

$269

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $219 to $295.

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 $631 · 10th to 90th $537 to $977Professionalmedian $269 · 10th to 90th $51 to $331
$50$100$200$500$1Kfacility $631professional $269

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. 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
Global
Typical Low
$51.29
Median
$251.19
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$512.86

Where Rhode Island 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.

Rhode Island· 49th of 51

$269

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.