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Unscheduled or Emergency Dialysis in Hospital Outpatient

Connecticut rates for HCPCS G0257

Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility

Rates data updated July 2026.

Facilitymedian $2,455 · 10th–90th $1,905$2,4550%50%10th$2,455Professionalmedian $6 · 10th–90th $6$3890%50%90th$6$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60