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Monthly Dialysis-Related Physician Care, Adult

South Dakota 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?

$316

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $316 for this service. Most negotiated rates run $282 to $398.

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.

How much rates vary

Facilitymedian $468 · 10th to 90th $282 to $676Professionalmedian $316 · 10th to 90th $59 to $575
$100.0$200.0$500.0$1.0Kfacility $468professional $316

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
$58.88
Median
$281.84
Typical High
$354.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Avera
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$489.78
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$676.08

Where South Dakota 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 Dakota $316 · 14th 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.