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ESRD Care, Home Dialysis, Per Day (Teen)

Montana 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?

$23.44

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $28.18 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 5 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$15.49 to $28.18
FacilityA hospital or hospital-owned outpatient department$28.18$23.44 to $29.51

How much rates vary

Facilitymedian $28 · 10th to 90th $19 to $32Professionalmedian $17 · 10th to 90th $12 to $43
$20$50facility $28professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$21.38
Typical High
$50.12
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$30.90
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$30.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$38.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$36.31
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$29.51

Where Montana 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.

Montana· 6th of 51

$23.44

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.