go back

Monthly Dialysis-Related Physician Care, Adult

Oregon 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 negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $447 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$347$282 to $562
FacilityA hospital or hospital-owned outpatient department$447$331 to $562

How much rates vary

Facilitymedian $447 · 10th to 90th $282 to $575Professionalmedian $347 · 10th to 90th $224 to $776
$5.0$20.0$100.0$500.0facility $447professional $347

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
$218.78
Median
$316.23
Typical High
$741.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$154.88
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$776.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$776.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$549.54
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$724.44

Where Oregon 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.

Oregon $372 · 6th 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.