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Peritoneal Dialysis Physician Evaluation (Per Day)

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $195 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 7 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$123$117 to $155
FacilityA hospital or hospital-owned outpatient department$195$126 to $372

How much rates vary

Facilitymedian $195 · 10th to 90th $126 to $380Professionalmedian $123 · 10th to 90th $112 to $219
$100$200$500facility $195professional $123

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
$125.89
Median
$194.98
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$263.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$575.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$245.47

Where Illinois 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.

Illinois· 38th 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.