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Initial Physical Therapy Evaluation

Colorado rates for HCPCS 97001

This covers an initial evaluation performed by a physical therapist to assess a patient's movement, strength, flexibility, and overall physical function. The therapist uses this assessment to identify problem areas and develop a personalized treatment plan. This evaluation typically takes place before ongoing physical therapy treatment sessions begin.

Rates data updated October 2026.

How much does Initial Physical Therapy Evaluation cost?

$93.33

Typical facility fee. In Colorado, October 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $75.86 to $107.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $89 to $129Professionalmedian $60 · 10th to 90th $39 to $155
$50$100facility $100professional $60

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$75.86
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$100.00
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$154.88

Where Colorado sits

The same service costs 11.5 times more in Oklahoma than in South Carolina. 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.

Colorado· 24th of 36

$93.33

OK $347SC $30.20

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.