Initial Physical Therapy Evaluation

Illinois 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 rates vary

Facilitymedian $195 · 10th to 90th $141 to $407

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Illinois Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $407.38	Facility	None	$141.25	$194.98	$407.38