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Monthly Kidney Care Management For Home Dialysis (Youth)

New York 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?

$537

Typical negotiated rate. In New York, 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 $589 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 10 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$437 to $813
FacilityA hospital or hospital-owned outpatient department$589$525 to $646

How much rates vary

Facilitymedian $589 · 10th to 90th $490 to $912Professionalmedian $537 · 10th to 90th $380 to $1,288
$500$1K$2Kfacility $589professional $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
$489.78
Median
$588.84
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$870.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,584.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,071.52
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$537.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$1,047.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$2,884.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$1,096.48
Univera
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$1,174.90

Where New York 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 York· 21st of 51

$537

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.