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Monthly Dialysis-Related Physician Care, Adult

Indiana 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?

$282

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $355 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 6 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$282$251 to $331
FacilityA hospital or hospital-owned outpatient department$355$302 to $389

How much rates vary

Facilitymedian $355 · 10th to 90th $263 to $490Professionalmedian $282 · 10th to 90th $209 to $407
$100$200$500facility $355professional $282

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
$208.93
Median
$288.40
Typical High
$407.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$141.25
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$389.05

Where Indiana sits

The same service costs 2.2 times more in Minnesota than in Vermont. 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.

Indiana· 43rd of 51

$282

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.