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Daily Dialysis-Related Physician Care, Adult

Michigan 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?

$9.77

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $10.96 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$9.77$8.32 to $12.02
FacilityA hospital or hospital-owned outpatient department$10.96$10.96 to $10.96

How much rates vary

Facilitymedian $11 · 10th to 90th $8 to $12Professionalmedian $10 · 10th to 90th $7 to $16
$2$5$10$20facility $11professional $10

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
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.33
Typical High
$12.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.77
Typical High
$19.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.77
Typical High
$21.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$20.42
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.91
Typical High
$13.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.91
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.92
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$14.79

Where Michigan 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.

Michigan· 23rd of 51

$9.77

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.