go back

Monthly Dialysis-Related Physician Care, Adult

Massachusetts 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?

$372

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $240 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 10 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$372$275 to $603
FacilityA hospital or hospital-owned outpatient department$240$204 to $407

How much rates vary

Facilitymedian $240 · 10th to 90th $162 to $513Professionalmedian $372 · 10th to 90th $224 to $851
$100.0$200.0$500.0$1.0K$2.0Kfacility $240professional $372

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
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$870.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$138.04
Typical High
$363.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$794.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$512.86
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$512.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$851.14
Health New England
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$489.78
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$1,905.46
Tufts
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$870.96

Where Massachusetts 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.

Massachusetts $372 · 5th 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.