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Monthly Dialysis-Related Physician Care, Adult

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $251 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 $339 · 10th to 90th $257 to $537Professionalmedian $288 · 10th to 90th $204 to $447
$50.0$100.0$200.0$500.0$1.0Kfacility $339professional $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
$218.78
Median
$288.40
Typical High
$446.68
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$144.54
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$288.40
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$436.52
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
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$416.87

Where South Carolina 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.

South Carolina $288 · 39th 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.