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Peritoneal Dialysis Physician Evaluation (Per Day)

South Carolina 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?

$126

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $162 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$126$117 to $151
FacilityA hospital or hospital-owned outpatient department$162$132 to $209

How much rates vary

Facilitymedian $162 · 10th to 90th $120 to $275Professionalmedian $126 · 10th to 90th $110 to $219
$50$100$200$500facility $162professional $126

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
$125.89
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$363.08
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$302.00
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
$162.18
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$181.97
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$204.17

Where South Carolina 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.

South Carolina· 36th of 51

$126

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.