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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 July 2026.

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

$129

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $117 to $155.

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 $219Professionalmedian $129 · 10th to 90th $100 to $224
$100$200$500facility $120professional $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
$120.23
Median
$120.23
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$239.88

Where New Jersey 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.

New Jersey· 31st 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.