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Daily Dialysis-Related Physician Care, Adult

North Carolina 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?

$12.02

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $10.72 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 8 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$12.02$9.33 to $15.85
FacilityA hospital or hospital-owned outpatient department$10.72$9.33 to $13.18

How much rates vary

Facilitymedian $11 · 10th to 90th $9 to $17Professionalmedian $12 · 10th to 90th $8 to $21
$10$20facility $11professional $12

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
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$16.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.91
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.59
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$20.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.72
Typical High
$16.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$19.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$16.22
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$79.43

Where North Carolina 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.

North Carolina· 7th of 51

$12.02

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.