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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 July 2026.

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

$347

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $295 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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $468 · 10th to 90th $282 to $676Professionalmedian $347 · 10th to 90th $282 to $776
$200$500$1Kfacility $468professional $347

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
$281.84
Median
$302.00
Typical High
$776.25
Avera
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$489.78
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$676.08

Where South Dakota 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.

South Dakota· 6th of 51

$347

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.