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Monthly Kidney Care Management For Home Dialysis (Youth)

South Carolina 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?

$501

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $457 to $589.

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.

How much rates vary

Facilitymedian $617 · 10th to 90th $468 to $977Professionalmedian $501 · 10th to 90th $407 to $741
$50$100$200$500$1Kfacility $617professional $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
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$812.83
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
$588.84
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$660.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$794.33

Where South Carolina 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.

South Carolina· 36th of 51

$501

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.