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Peritoneal Dialysis Physician Evaluation (Per Day)

Utah 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?

$145

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $117 to $170.

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 $145 · 10th to 90th $112 to $309Professionalmedian $145 · 10th to 90th $112 to $269
$50$100$200$500$1Kfacility $145professional $145

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. 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
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$234.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$323.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$138.04
Typical High
$147.91
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$208.93

Where Utah 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.

Utah· 15th of 51

$145

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.