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Initial Physical Therapy Evaluation

Ohio 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 does Initial Physical Therapy Evaluation cost?

$107

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $64.57 to $107.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41,687 · 10th to 90th $41,687 to $41,687Professionalmedian $107 · 10th to 90th $65 to $107
$100$500$2K$10Kfacility $41,687professional $107

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$41,686.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15

Where Ohio sits

The same service costs 426.6 times more in Kentucky than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 9th of 37

$107

KY $28,184MI $66.07

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.