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Monthly Dialysis-Related Physician Care, Adult

California rates for HCPCS 90966

Ongoing physician management of a person's kidney disease and home dialysis care for a full calendar month, for patients age 20 and older. It covers regular check-ins, care planning, and oversight of the dialysis regimen rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Monthly Dialysis-Related Physician Care, Adult cost?

$316

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $316 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 13 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$316$245 to $372
FacilityA hospital or hospital-owned outpatient department$316$282 to $417

How much rates vary

Facilitymedian $316 · 10th to 90th $263 to $661Professionalmedian $316 · 10th to 90th $219 to $617
$100.0$200.0$500.0$1.0K$2.0Kfacility $316professional $316

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$602.56
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$144.54
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$602.56
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$660.69
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$588.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$724.44
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$549.54

Where California sits

The same service costs 2.2 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $316 · 17th of 51
MN $513VT $234

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.