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Monthly Dialysis-Related Physician Care, Adult

Delaware 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?

$275

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $245 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $275 · 10th to 90th $240 to $447
$200.0$500.0$1.0Kprofessional $275

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
$245.47
Median
$275.42
Typical High
$446.68
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$141.25
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$537.03
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$478.63

Where Delaware 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.

Delaware $275 · 45th 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.