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Peritoneal Dialysis Physician Evaluation (Per Day)

Michigan 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?

$129

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $347 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$129$117 to $155
FacilityA hospital or hospital-owned outpatient department$347$145 to $347

How much rates vary

Facilitymedian $347 · 10th to 90th $145 to $347Professionalmedian $129 · 10th to 90th $112 to $174
$100$200$500facility $347professional $129

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
$144.54
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$281.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$323.59
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$208.93
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$204.17

Where Michigan 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.

Michigan· 33rd of 51

$129

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.