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Monthly Dialysis-Related Physician Care, Adult

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $316 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$288$251 to $347
FacilityA hospital or hospital-owned outpatient department$316$275 to $398

How much rates vary

Facilitymedian $316 · 10th to 90th $251 to $501Professionalmedian $288 · 10th to 90th $195 to $457
$100.0$200.0$500.0$1.0K$2.0Kfacility $316professional $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
$63.10
Median
$275.42
Typical High
$380.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$138.04
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$537.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$478.63
Sentara
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$446.68

Where Virginia 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.

Virginia $288 · 34th 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.