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ESRD Care, Home Dialysis, Per Day (Teen)

South Dakota 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 physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $23.44 for this service. Most negotiated rates run $18.20 to $30.90.

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.

How much rates vary

Facilitymedian $28 · 10th to 90th $16 to $40Professionalmedian $23 · 10th to 90th $17 to $35
$20$50$100facility $28professional $23

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
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$30.90
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$28.18
Typical High
$39.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$23.99
Typical High
$123.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$34.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$24.55
Typical High
$38.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.02
Typical High
$38.02

Where South Dakota 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.

South Dakota· 7th 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.