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Peritoneal Dialysis Physician Evaluation (Per Day)

Iowa 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?

$155

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $204 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$155$120 to $240
FacilityA hospital or hospital-owned outpatient department$204$148 to $269

How much rates vary

Facilitymedian $204 · 10th to 90th $120 to $316Professionalmedian $155 · 10th to 90th $117 to $501
$100$200$500$1Kfacility $204professional $155

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$309.03
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$331.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$223.87

Where Iowa 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.

Iowa· 10th of 51

$155

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.