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Monthly Dialysis-Related Physician Care, Adult

Georgia 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?

$309

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $269 to $457.

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.

How much rates vary

Facilitymedian $355 · 10th to 90th $269 to $398Professionalmedian $309 · 10th to 90th $209 to $603
$1.0$10.0$100.0$1.0Kfacility $355professional $309

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$660.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$147.91
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$489.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$181.97
Median
$181.97
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$537.03

Where Georgia 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.

Georgia $309 · 19th 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.