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Monthly Dialysis-Related Physician Care, Adult

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $234 to $288.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $631 · 10th to 90th $537 to $977Professionalmedian $288 · 10th to 90th $60 to $372
$100.0$200.0$500.0$1.0Kfacility $631professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$288.40
Typical High
$323.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$144.54
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$512.86

Where Rhode Island 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.

Rhode Island $288 · 38th 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.