go back

Daily Dialysis-Related Physician Care, Adult

Virginia 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?

$9.55

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $10.47 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$9.33$8.32 to $11.48
FacilityA hospital or hospital-owned outpatient department$10.47$9.12 to $13.18

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $17Professionalmedian $9 · 10th to 90th $7 to $15
$10$20facility $10professional $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
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.91
Typical High
$12.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$17.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.00
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.23
Typical High
$17.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$16.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$13.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.96
Typical High
$16.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$15.85
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$15.14

Where Virginia 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.

Virginia· 27th of 51

$9.55

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.