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Peritoneal Dialysis Physician Evaluation (Per Day)

New Mexico 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 physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $117 to $166.

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.

How much rates vary

Facilitymedian $155 · 10th to 90th $117 to $269Professionalmedian $132 · 10th to 90th $112 to $269
$50$100$200$500facility $155professional $132

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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$173.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$251.19

Where New Mexico 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 Mexico· 27th 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.