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Daily Dialysis-Related Physician Care, Adult

Kentucky 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?

$8.71

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $13.49 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$8.71$7.41 to $9.77
FacilityA hospital or hospital-owned outpatient department$13.49$9.77 to $16.60

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $17Professionalmedian $9 · 10th to 90th $7 to $12
$10$20$50facility $13professional $9

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
$9.33
Median
$9.33
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.12
Typical High
$10.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.41
Typical High
$10.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.23
Typical High
$14.45
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.72
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.48
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.71
Typical High
$15.14

Where Kentucky 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.

Kentucky· 50th of 51

$8.71

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.