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Chronic Kidney Disease Education, Individual

Maine rates for HCPCS G0420

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per 1 hour

Rates data updated July 2026.

How much does Chronic Kidney Disease Education, Individual cost?

$120

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $105 to $195.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $105 · 10th to 90th $105 to $105Professionalmedian $120 · 10th to 90th $89 to $288
$100$200$500facility $105professional $120

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
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$338.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$302.00

Where Maine sits

The same service costs 2.0 times more in Minnesota than in Louisiana. 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.

Maine· 12th of 51

$120

MN $200LA $100

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.