search again

Monthly Home Dialysis Management, Young Patient

Nationwide rates for HCPCS 90964

The doctor's ongoing management of a child or teenager receiving dialysis at home across a full calendar month. It covers reviewing how well dialysis is working, adjusting the prescription, and managing anemia, blood pressure, nutrition and growth, together with the required visits. The dialysis treatments themselves are separate.

Rates data updated July 2026.

How much does Monthly Home Dialysis Management, Young Patient cost?

$537

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $661 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 65 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$537$479 to $692
FacilityA hospital or hospital-owned outpatient department$661$537 to $891

How much rates vary

Facilitymedian $661 · 10th to 90th $490 to $1,122Professionalmedian $537 · 10th to 90th $417 to $1,148
$500$1K$2Kfacility $661professional $537

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
Facility
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$1,202.26

What it costs in each state

The same service costs 2.6 times more in Minnesota than in Vermont. 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.

Touch or drag across the chart to see any state's rate.

MN $1,148VT $447

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.