go back

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.

Facilitymedian $631 · 10th–90th $537$9770%20%10th90th$631Professionalmedian $269 · 10th–90th $51$3310%20%10th90th$269$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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