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Daily Dialysis-Related Physician Care, Adult

Illinois rates for HCPCS 90970

Physician management related to kidney dialysis care for an adult patient, billed on a per-day basis for a period shorter than a full month, such as when dialysis care starts, ends, or is interrupted partway through the month. It covers the ongoing medical oversight of a person's kidney disease care rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Daily Dialysis-Related Physician Care, Adult cost?

$10.72

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $12.59 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 7 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$10.72$9.12 to $11.22
FacilityA hospital or hospital-owned outpatient department$12.59$12.02 to $32.36

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $331Professionalmedian $11 · 10th to 90th $8 to $15
$10$20$50$100$200facility $13professional $11

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
$8.91
Median
$12.02
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$13.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$9.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.75
Typical High
$18.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$19.50
Typical High
$38.02
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.02
Typical High
$12.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$20.42

Where Illinois 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.

Illinois· 13th of 51

$10.72

MN $19.50VT $7.94

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.