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Monthly Kidney Care Management For Home Dialysis (Youth)

Indiana 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?

$479

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $513 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 6 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$479$437 to $525
FacilityA hospital or hospital-owned outpatient department$513$490 to $692

How much rates vary

Facilitymedian $513 · 10th to 90th $363 to $871Professionalmedian $479 · 10th to 90th $389 to $646
$500$1Kfacility $513professional $479

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
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$575.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$724.44

Where Indiana 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.

Indiana· 46th of 51

$479

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.