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Monthly Dialysis-Related Physician Care, Adult

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $372 for this service. Most negotiated rates run $269 to $603.

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.

How much rates vary

Professionalmedian $372 · 10th to 90th $219 to $813
$100.0$200.0$500.0$1.0Kprofessional $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
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$416.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$134.90
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$660.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$954.99
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$501.19
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$138.04
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$870.96

Where Maine 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.

Maine $372 · 4th 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.