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Peritoneal Dialysis Physician Evaluation (Per Day)

New Jersey 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?

$117

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $100 to $132.

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 $120 · 10th to 90th $120 to $123Professionalmedian $117 · 10th to 90th $81 to $166
$100$200facility $120professional $117

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$60.26
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$23.99
Typical High
$24.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$18.20
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.02
Median
$12.02
Typical High
$12.30
Ambetter
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$102.33
Typical High
$186.21
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$177.83
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$138.04
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$95.50
Typical High
$128.82

Where New Jersey 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.

New Jersey· 45th of 51

$117

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.