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ESRD Care, Home Dialysis, Per Day (Teen)

Illinois 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?

$17.38

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $17.38 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 6 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$17.38$15.85 to $21.88
FacilityA hospital or hospital-owned outpatient department$23.44$23.44 to $50.12

How much rates vary

Facilitymedian $23 · 10th to 90th $23 to $69Professionalmedian $17 · 10th to 90th $14 to $38
$20$50$100facility $23professional $17

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
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$58.88
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.38
Typical High
$33.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$50.12
Typical High
$69.18
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$21.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$30.20

Where Illinois 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.

Illinois· 31st of 51

$17.38

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.