Initial Physical Therapy Evaluation

New York 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 $68 · 10th to 90th $68 to $68Professionalmedian $95 · 10th to 90th $95 to $95

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	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
MVP Health Care Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61	Facility	None	$67.61	$67.61	$67.61