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Monthly Dialysis-Related Physician Care, Adult

Florida 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?

$240

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $309 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$204 to $295
FacilityA hospital or hospital-owned outpatient department$309$257 to $331

How much rates vary

Facilitymedian $309 · 10th to 90th $195 to $331Professionalmedian $240 · 10th to 90th $191 to $372
$200$500facility $309professional $240

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
$190.55
Median
$190.55
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$194.98
Typical High
$331.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$93.33
Median
$95.50
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$38.02
Typical High
$54.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$27.54
Median
$28.18
Typical High
$40.74
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$18.62
Median
$19.05
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$302.00
Typical High
$316.23
AvMed
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$323.59
Typical High
$331.13
AvMed
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$263.03
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$213.80
Typical High
$354.81
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$234.42
Typical High
$363.08
Molina
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$309.03
Typical High
$645.65
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$213.80
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88

Where Florida 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.

Florida· 50th of 51

$240

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.