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Initial Physical Therapy Evaluation

New Jersey 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 July 2026.

How much rates vary

Professionalmedian $126 · 10th to 90th $98 to $182
$100.0$200.0$500.0professional $126

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$181.97