go back

Monthly Kidney Care Management For Home Dialysis (Youth)

New Jersey 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?

$490

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $427 to $603.

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.

How much rates vary

Facilitymedian $468 · 10th to 90th $468 to $891Professionalmedian $501 · 10th to 90th $372 to $813
$500$1Kfacility $468professional $501

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
$467.74
Median
$467.74
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,096.48
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$954.99

Where New Jersey 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.

New Jersey· 42nd of 51

$490

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.