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ESRD Care, Home Dialysis, Per Day (Teen)

New Jersey 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?

$16.60

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $16.60 for this service. Most negotiated rates run $14.13 to $20.42.

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.

How much rates vary

Facilitymedian $16 · 10th to 90th $16 to $30Professionalmedian $17 · 10th to 90th $13 to $28
$20$50facility $16professional $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
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.95
Typical High
$36.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$34.67
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.38
Typical High
$31.62

Where New Jersey 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.

New Jersey· 38th of 51

$16.60

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.