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Monthly Kidney Disease Management, Adult Patient

South Carolina 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 $339 · 10th–90th $257$5370%10%10th90th$339Professionalmedian $288 · 10th–90th $219$3980%20%10th90th$288$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$346.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$416.87