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Peritoneal Dialysis Physician Evaluation (Per Day)

Delaware rates for HCPCS 90947

A physician's evaluation of a patient receiving a dialysis treatment method other than standard hemodialysis, most often peritoneal dialysis, billed for a single day rather than as part of a monthly bundle. It reflects multiple evaluations by the physician during that day's dialysis-related care, rather than just one.

Rates data updated October 2026.

How much does Peritoneal Dialysis Physician Evaluation (Per Day) cost?

$117

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $182 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$112 to $126
FacilityA hospital or hospital-owned outpatient department$182$126 to $331

How much rates vary

Facilitymedian $182 · 10th to 90th $126 to $1,514Professionalmedian $117 · 10th to 90th $98 to $166
$100$200$500$1Kfacility $182professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$125.89
Median
$125.89
Typical High
$331.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$125.89
Typical High
$263.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$63.10
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$25.12
Typical High
$26.30
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$18.62
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$12.59
Typical High
$12.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$117.49
Typical High
$158.49
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$109.65
Typical High
$154.88

Where Delaware sits

The same service costs 3.2 times more in Alaska than in Utah. 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.

Delaware· 47th of 51

$117

AK $316UT $97.72

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.