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Monthly Dialysis-Related Physician Care, Adult

New Mexico 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 physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $257 to $339.

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.

How much rates vary

Facilitymedian $347 · 10th to 90th $269 to $513Professionalmedian $288 · 10th to 90th $219 to $501
$50.0$100.0$200.0$500.0$1.0Kfacility $347professional $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
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$138.04
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$489.78

Where New Mexico 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.

New Mexico $288 · 36th 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.