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Peritoneal Dialysis Physician Evaluation (Per Day)

Indiana 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?

$123

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $138 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 6 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$115 to $145
FacilityA hospital or hospital-owned outpatient department$138$123 to $182

How much rates vary

Facilitymedian $138 · 10th to 90th $98 to $398Professionalmedian $123 · 10th to 90th $110 to $182
$100$200$500facility $138professional $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. 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
$109.65
Median
$120.23
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$213.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$141.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$190.55

Where Indiana 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.

Indiana· 45th of 51

$123

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.