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Peritoneal Dialysis Physician Evaluation (Per Day)

Montana 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?

$132

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $204 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$117 to $166
FacilityA hospital or hospital-owned outpatient department$204$174 to $214

How much rates vary

Facilitymedian $204 · 10th to 90th $135 to $269Professionalmedian $123 · 10th to 90th $112 to $209
$100$200$500$1Kfacility $204professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$66,069.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$316.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$239.88

Where Montana 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.

Montana· 28th of 51

$132

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.