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Peritoneal Dialysis Physician Evaluation (Per Day)

Maryland 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 physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $112 to $155.

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.

How much rates vary

Facilitymedian $98 · 10th to 90th $98 to $98Professionalmedian $126 · 10th to 90th $107 to $288
$100$200$500facility $98professional $126

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
$107.15
Median
$123.03
Typical High
$302.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$257.04
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$158.49

Where Maryland 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.

Maryland· 44th 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.