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Monthly Kidney Care Management For Home Dialysis (Youth)

Virginia 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?

$513

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $562 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 8 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$501$468 to $617
FacilityA hospital or hospital-owned outpatient department$562$501 to $708

How much rates vary

Facilitymedian $562 · 10th to 90th $468 to $891Professionalmedian $501 · 10th to 90th $417 to $759
$500$1Kfacility $562professional $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
$478.63
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$524.81
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$741.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$870.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$831.76

Where Virginia 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.

Virginia· 28th of 51

$513

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.