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Peritoneal Dialysis Physician Evaluation (Per Day)

Missouri 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?

$141

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $170 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$138$120 to $174
FacilityA hospital or hospital-owned outpatient department$170$129 to $245

How much rates vary

Facilitymedian $170 · 10th to 90th $117 to $417Professionalmedian $138 · 10th to 90th $115 to $316
$100$200$500$1Kfacility $170professional $138

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
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$194.98
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
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$234.42

Where Missouri 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.

Missouri· 19th of 51

$141

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.