go back

Monthly Kidney Care Management, Limited In-Person Visits

New York 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?

$162

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $229 from a hospital or other facility.

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 11 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$145 to $182
FacilityA hospital or hospital-owned outpatient department$229$170 to $417

How much rates vary

Facilitymedian $229 · 10th to 90th $148 to $603Professionalmedian $162 · 10th to 90th $129 to $263
$200$500$1Kfacility $229professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$213.80
Typical High
$478.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$208.93
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$162.18
Typical High
$245.47
CDPHP
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$173.78
Typical High
$346.74
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$239.88
Typical High
$812.83
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$251.19
Typical High
$426.58
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$257.04
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$208.93
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$181.97
Typical High
$269.15
Univera
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$218.78
Typical High
$660.69
Univera
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$257.04

Where New York 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 York· 51st of 51

$162

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.