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Monthly Dialysis-Related Physician Care, Adult

Michigan 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?

$302

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $339 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 8 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$302$251 to $363
FacilityA hospital or hospital-owned outpatient department$339$339 to $355

How much rates vary

Facilitymedian $339 · 10th to 90th $229 to $380Professionalmedian $302 · 10th to 90th $219 to $479
$100$200$500facility $339professional $302

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
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$144.54
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$676.08
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$602.56
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$478.63
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$275.42
Typical High
$436.52

Where Michigan 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.

Michigan· 25th of 51

$302

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.