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ESRD Care, Home Dialysis, Per Day (Teen)

Iowa rates for HCPCS 90969

This service covers a day of physician management for a child or teenager on home dialysis for end-stage kidney disease, provided on a per-day basis rather than as a full monthly service. It is used when the patient is under a provider's care for only part of a month rather than the entire month. Home dialysis care in this age group is managed with an age-specific approach.

Rates data updated July 2026.

How much does ESRD Care, Home Dialysis, Per Day (Teen) cost?

$21.38

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $23.44 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$21.38$16.60 to $31.62
FacilityA hospital or hospital-owned outpatient department$23.44$19.50 to $34.67

How much rates vary

Facilitymedian $23 · 10th to 90th $16 to $39Professionalmedian $21 · 10th to 90th $16 to $46
$20$50$100facility $23professional $21

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
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.20
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$31.62
Typical High
$43.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$50.12
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$27.54
Typical High
$123.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$45.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$45.71
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$30.90
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$40.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$36.31

Where Iowa sits

The same service costs 2.5 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.

Iowa· 10th of 51

$21.38

MN $38.02VT $15.14

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.