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ESRD Care, Home Dialysis, Per Day (Teen)

Tennessee 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?

$16.98

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $107 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$16.98$15.49 to $20.42
FacilityA hospital or hospital-owned outpatient department$107$107 to $107

How much rates vary

Facilitymedian $107 · 10th to 90th $36 to $107Professionalmedian $17 · 10th to 90th $14 to $26
$20$50$100facility $107professional $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
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.60
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$20.89
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.50
Typical High
$32.36
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$28.84

Where Tennessee 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.

Tennessee· 33rd of 51

$16.98

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.