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ESRD Care, Home Dialysis, Per Day (Teen)

Massachusetts 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?

$19.50

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $14.45 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 7 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$19.95$15.85 to $36.31
FacilityA hospital or hospital-owned outpatient department$14.45$11.75 to $22.39

How much rates vary

Facilitymedian $14 · 10th to 90th $9 to $30Professionalmedian $20 · 10th to 90th $13 to $48
$10$20$50$100facility $14professional $20

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
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.22
Typical High
$43.65
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$23.99
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$44.67
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$15.85
Typical High
$28.84
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$15.85
Typical High
$29.51
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$33.11
Typical High
$47.86
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$23.99
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$27.54
Typical High
$48.98

Where Massachusetts 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.

Massachusetts· 16th of 51

$19.50

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.