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Monthly Dialysis-Related Physician Care, Adult

Washington, DC 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 October 2026.

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

$302

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $275 to $339.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $275 · 10th to 90th $275 to $275Professionalmedian $302 · 10th to 90th $219 to $407
$200$500facility $275professional $302

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$275.42
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$39.81
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$26.92
Median
$27.54
Typical High
$27.54
CareFirst
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$338.84
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$295.12
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$323.59
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$218.78
Typical High
$758.58

Where Washington, DC sits

The same service costs 2.8 times more in Alaska than in New York. 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.

Washington, DC· 29th of 51

$302

AK $661NY $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.