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Monthly Kidney Disease Management, Adult Patient

Wyoming 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?

$427

Typical physician fee. In Wyoming, October 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $324 to $525.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $295 · 10th to 90th $295 to $295Professionalmedian $427 · 10th to 90th $295 to $525
$500$1Kfacility $295professional $427

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
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$295.12
Typical High
$512.86
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$524.81
Typical High
$524.81
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$295.12
Median
$363.08
Typical High
$363.08
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$85.11
Median
$104.71
Typical High
$104.71
BCBS Wyoming
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$42.66
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$316.23
Typical High
$645.65
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$407.38
Typical High
$588.84

Where Wyoming 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.

Wyoming· 11th of 51

$427

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.