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Peritoneal Dialysis Physician Evaluation (Per Day)

South Dakota 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?

$229

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $186 to $251.

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 $204 · 10th to 90th $166 to $331Professionalmedian $229 · 10th to 90th $129 to $288
$100$200$500$1Kfacility $204professional $229

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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$120.23
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$245.47
Typical High
$316.23
Medica
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$331.13
Medica
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$245.47
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$288.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$186.21
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$223.87
Typical High
$263.03
Wellmark
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$229.09
Typical High
$229.09

Where South Dakota 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.

South Dakota· 4th of 51

$229

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.