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ESRD Care, Home Dialysis, Per Day (Teen)

Kentucky 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?

$15.85

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 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$15.85$14.13 to $16.98
FacilityA hospital or hospital-owned outpatient department$23.44$16.98 to $29.51

How much rates vary

Facilitymedian $23 · 10th to 90th $17 to $30Professionalmedian $16 · 10th to 90th $12 to $22
$10$20$50facility $23professional $16

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
$16.60
Median
$16.60
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$19.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$17.78
Typical High
$25.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.38
Typical High
$83.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$28.18

Where Kentucky 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.

Kentucky· 50th of 51

$15.85

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.