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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.

Facilitymedian $275 · 10th–90th $275$7410%50%90th$275Professionalmedian $295 · 10th–90th $55$4680%10%10th90th$295$20.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

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