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Monthly Kidney Care Management, Limited In-Person Visits

New Jersey 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 October 2026.

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

$178

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $174 to $204.

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 $178 · 10th to 90th $178 to $182Professionalmedian $178 · 10th to 90th $158 to $269
$200$500facility $178professional $178

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
$177.83
Median
$177.83
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$190.55
Typical High
$208.93
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$173.78
Typical High
$295.12
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$323.59
Typical High
$354.81
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$173.78
Typical High
$218.78

Where New Jersey sits

The same service costs 3.1 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.

New Jersey· 48th of 51

$178

AK $501NY $162

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.