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Initial Physical Therapy Evaluation

Wisconsin 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 $141 · 10th–90th $71$2820%10%10th90th$141Professionalmedian $76 · 10th–90th $59$3470%20%10th90th$76$100.0$200.0

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

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$75.86
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$114.82
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$141.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$281.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$346.74