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Monthly Kidney Care Management For Home Dialysis (Youth)

Illinois rates for HCPCS 90965

This covers a physician's monthly management fee for overseeing the care of a child or teenager on home dialysis. It reflects ongoing oversight — reviewing the dialysis plan and adjusting treatment — provided over the course of a full month. This is a management fee for physician oversight rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Monthly Kidney Care Management For Home Dialysis (Youth) cost?

$550

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $708 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 7 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$550$490 to $603
FacilityA hospital or hospital-owned outpatient department$708$708 to $1,413

How much rates vary

Facilitymedian $708 · 10th to 90th $708 to $1,738Professionalmedian $550 · 10th to 90th $447 to $759
$100$200$500$1K$2Kfacility $708professional $550

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. 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
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$691.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,148.15
Typical High
$1,479.11
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$891.25

Where Illinois sits

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.

Illinois· 16th of 51

$550

MN $1,122VT $427

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.