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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.

Facilitymedian $145 · 10th–90th $112$3090%50%10th90th$145Professionalmedian $145 · 10th–90th $112$2690%20%10th90th$145$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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