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Peritoneal Dialysis Physician Evaluation (Per Day)

Idaho 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?

$145

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $174 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$145$117 to $170
FacilityA hospital or hospital-owned outpatient department$174$145 to $219

How much rates vary

Facilitymedian $174 · 10th to 90th $126 to $275Professionalmedian $145 · 10th to 90th $112 to $240
$100$200$500facility $174professional $145

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
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$275.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$102.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$275.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Select Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$239.88

Where Idaho 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.

Idaho· 16th of 51

$145

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.