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Monthly Kidney Disease Management, Adult Patient

Vermont 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?

$240

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $224 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $240 · 10th to 90th $204 to $398
$100.0$200.0$500.0$1.0Kprofessional $240

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$645.65
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$338.84
Typical High
$851.14

Where Vermont sits

The same service costs 2.1 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $240 · 51st of 51
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.