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Daily Dialysis-Related Physician Care, Adult

New Jersey 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?

$9.12

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $9.12 for this service. Most negotiated rates run $7.76 to $11.22.

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.

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $17Professionalmedian $9 · 10th to 90th $7 to $14
$2$5$10$20facility $9professional $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
$8.71
Median
$8.71
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.12
Typical High
$12.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$10.00
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.72
Typical High
$20.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$21.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.12
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.33
Typical High
$17.38

Where New Jersey 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.

New Jersey· 46th of 51

$9.12

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.