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Daily Dialysis-Related Physician Care, Adult

South Dakota 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?

$13.18

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $13.18 for this service. Most negotiated rates run $9.33 to $21.38.

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.

How much rates vary

Facilitymedian $15 · 10th to 90th $9 to $22Professionalmedian $13 · 10th to 90th $8 to $25
$10$20$50facility $15professional $13

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
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$25.12
Avera
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$16.98
Typical High
$25.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$15.49
Typical High
$21.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.59
Typical High
$64.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$18.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.18
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.18
Typical High
$21.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.88
Typical High
$21.88

Where South Dakota 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.

South Dakota· 4th of 51

$13.18

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.