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Peritoneal Dialysis Physician Evaluation (Per Day)

Florida 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 July 2026.

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

$126

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $182 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$126$112 to $145
FacilityA hospital or hospital-owned outpatient department$182$123 to $224

How much rates vary

Facilitymedian $182 · 10th to 90th $71 to $372Professionalmedian $126 · 10th to 90th $98 to $195
$50$100$200facility $182professional $126

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
$100.00
Median
$125.89
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$269.15
AvMed
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$74.13
AvMed
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$269.15
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$223.87
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$34.67
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$218.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$114.82

Where Florida sits

The same service costs 2.2 times more in Minnesota than in West Virginia. 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.

Florida· 43rd of 51

$126

MN $263WV $120

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.