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Initial Physical Therapy Evaluation

Texas 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 does Initial Physical Therapy Evaluation cost?

$347

Typical physician fee. In Texas, October 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $347 to $347.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $102 · 10th to 90th $76 to $120Professionalmedian $347 · 10th to 90th $347 to $347
$50$100$200facility $102professional $347

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
Health Smart
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$134.90
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Moda Health
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$102.33
Typical High
$169.82
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$102.33
Typical High
$120.23

Where Texas sits

The same service costs 11.5 times more in Oklahoma than in South Carolina. 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.

Texas· 4th of 36

$347

OK $347SC $30.20

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.