go back

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 October 2026.

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

$100

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $115 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$89.13 to $120
FacilityA hospital or hospital-owned outpatient department$115$107 to $490

How much rates vary

Facilitymedian $115 · 10th to 90th $95 to $589Professionalmedian $100 · 10th to 90th $83 to $166
$100$200$500facility $115professional $100

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
$100.00
Median
$512.86
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$100.00
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$48.98
Typical High
$63.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$19.95
Typical High
$25.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.13
Median
$14.79
Typical High
$19.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.55
Median
$10.00
Typical High
$12.59
Ambetter
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
AvMed
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$112.20
Typical High
$114.82
AvMed
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$107.15
Typical High
$128.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$89.13
Typical High
$162.18
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$223.87
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$117.49
Typical High
$141.25
Molina
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$102.33
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$104.71
Typical High
$169.82
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18

Where Florida 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.

Florida· 50th of 51

$100

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.