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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 October 2026.

How much does Peritoneal Dialysis Physician Evaluation (Per Day) cost?

$145

Typical negotiated rate. In Michigan, October 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 $132 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$138 to $166
FacilityA hospital or hospital-owned outpatient department$132$132 to $145

How much rates vary

Facilitymedian $132 · 10th to 90th $132 to $355Professionalmedian $145 · 10th to 90th $123 to $174
$100$200facility $132professional $145

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$138.04
Typical High
$141.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.95
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$13.80
Typical High
$13.80
Ambetter
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$165.96
Typical High
$173.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$128.82
Typical High
$234.42
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$354.81
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$144.54
Typical High
$173.78
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Priority Health
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$125.89
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$131.83
Typical High
$151.36

Where Michigan sits

The same service costs 3.2 times more in Alaska than in Utah. 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· 24th of 51

$145

AK $316UT $97.72

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.