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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 October 2026.

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

$288

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $245 to $309.

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 $661Professionalmedian $288 · 10th to 90th $224 to $339
$200$500facility $275professional $288

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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$275.42
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$478.63
Molina
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$251.19
Typical High
$309.03
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$338.84
Typical High
$407.38
Select Health
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$407.38
Typical High
$776.25
Select Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$363.08
Typical High
$426.58
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$398.11
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$245.47
Typical High
$426.58

Where Utah 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.

Utah· 36th of 51

$288

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.