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Monthly Kidney Disease Management, Adult Patient

South Dakota 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?

$468

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $398 to $575.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $490 · 10th to 90th $295 to $562Professionalmedian $468 · 10th to 90th $288 to $676
$200$500$1Kfacility $490professional $468

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
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$489.78
Typical High
$776.25
Medica
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$489.78
Typical High
$562.34
Medica
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$467.74
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
Midlands
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$407.38
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$436.52
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$676.08
Typical High
$676.08

Where South Dakota 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.

South Dakota· 7th of 51

$468

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.