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Monthly Dialysis-Related Physician Care, Adult

Montana 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?

$288

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $457 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$288$224 to $331
FacilityA hospital or hospital-owned outpatient department$457$380 to $501

How much rates vary

Facilitymedian $457 · 10th to 90th $302 to $562Professionalmedian $288 · 10th to 90th $219 to $457
$100$200$500$1Kfacility $457professional $288

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
$190.55
Median
$281.84
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$134.90
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$870.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$512.86
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$512.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$457.09
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$467.74

Where Montana 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.

Montana· 37th of 51

$288

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.