Monthly Kidney Care Management, Limited In-Person Visits

Nationwide rates for HCPCS 90962

A physician or other clinician provides ongoing monthly management of a patient's kidney-related care, including reviewing overall health status and coordinating treatment, for a month in which the patient was seen in person less often than the standard full monthly bundle of visits. This covers the physician's oversight work for that month rather than the dialysis treatments themselves. It applies to adult patients receiving this type of outpatient kidney disease management.

Rates data updated July 2026.

How much does Monthly Kidney Care Management, Limited In-Person Visits cost?

$214

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $257 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 75 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$214	$186 to $275
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$257	$209 to $347

How much rates vary

Facilitymedian $257 · 10th to 90th $186 to $437Professionalmedian $214 · 10th to 90th $158 to $457

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $177.83 Median $234.42 Typical High $371.54	Facility	Global	$177.83	$234.42	$371.54
Aetna Setting Professional Modifier Global Typical Low $158.49 Median $204.17 Typical High $371.54	Professional	Global	$158.49	$204.17	$371.54
BCBS Setting Facility Modifier Global Typical Low $218.78 Median $257.04 Typical High $1,096.48	Facility	Global	$218.78	$257.04	$1,096.48
BCBS Setting Professional Modifier Global Typical Low $147.91 Median $208.93 Typical High $363.08	Professional	Global	$147.91	$208.93	$363.08
Cigna Setting Facility Modifier Global Typical Low $208.93 Median $354.81 Typical High $741.31	Facility	Global	$208.93	$354.81	$741.31
Cigna Setting Professional Modifier Global Typical Low $173.78 Median $239.88 Typical High $501.19	Professional	Global	$173.78	$239.88	$501.19
United Setting Facility Modifier Global Typical Low $144.54 Median $162.18 Typical High $263.03	Facility	Global	$144.54	$162.18	$263.03
United Setting Professional Modifier Global Typical Low $154.88 Median $234.42 Typical High $489.78	Professional	Global	$154.88	$234.42	$489.78

What it costs in each state

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.

MN $372VT $178

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.