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Monthly Kidney Disease Management, Adult Patient

Utah 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?

$295

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $224 to $347.

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 $275 · 10th to 90th $275 to $741Professionalmedian $295 · 10th to 90th $55 to $468
$20$50$100$200$500$1Kfacility $275professional $295

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
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$288.40
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$776.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$426.58
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$426.58

Where Utah 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.

Utah· 32nd of 51

$295

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.