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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 July 2026.

Facilitymedian $68 · 10th–90th $68$680%50%100%$68Professionalmedian $81 · 10th–90th $63$1100%20%10th90th$81$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$75.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$109.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61