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 October 2026.

How much rates vary

Professionalmedian $126 · 10th to 90th $98 to $214

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
Emblem Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50	Professional	None	$95.50	$95.50	$95.50
Horizon BCBS Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $213.80	Professional	None	$97.72	$125.89	$213.80