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Monthly Dialysis-Related Physician Care, Adult

Missouri 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?

$324

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $363 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 7 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$324$275 to $407
FacilityA hospital or hospital-owned outpatient department$363$302 to $501

How much rates vary

Facilitymedian $363 · 10th to 90th $269 to $692Professionalmedian $324 · 10th to 90th $234 to $776
$200$500$1Kfacility $363professional $324

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
$239.88
Median
$331.13
Typical High
$851.14
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$151.36
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$691.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$501.19

Where Missouri 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.

Missouri· 13th of 51

$324

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.