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Monthly Dialysis-Related Physician Care, Adult

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $316 for this service. Most negotiated rates run $245 to $389.

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 $275 · 10th to 90th $269 to $741Professionalmedian $316 · 10th to 90th $219 to $525
$100$200$500$1Kfacility $275professional $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
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$524.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$151.36
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$398.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$776.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$426.58
Select Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$275.42
Median
$302.00
Typical High
$316.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$426.58

Where Utah sits

The same service costs 2.2 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 16th of 51

$316

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.