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ESRD Care, Home Dialysis, Per Day (Teen)

Ohio 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 negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $16.22 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 9 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$16.60$15.14 to $19.95
FacilityA hospital or hospital-owned outpatient department$16.22$16.22 to $19.05

How much rates vary

Facilitymedian $16 · 10th to 90th $16 to $30Professionalmedian $17 · 10th to 90th $13 to $25
$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. 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
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$19.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.98
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$17.78
Typical High
$20.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$36.31
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$33.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$16.60
Typical High
$28.84

Where Ohio 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.

Ohio· 39th 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.