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Physical Therapy Re-Evaluation

Wisconsin rates for HCPCS 97002

A follow-up assessment by a physical therapist partway through a course of treatment. Strength, movement, pain, and function are measured again and compared with the starting point, and the plan is adjusted accordingly. It is a reassessment rather than a treatment session.

Rates data updated July 2026.

How much does Physical Therapy Re-Evaluation cost?

$42.66

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $75.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$37.15 to $72.44
FacilityA hospital or hospital-owned outpatient department$75.86$34.67 to $141

How much rates vary

Facilitymedian $76 · 10th to 90th $25 to $182Professionalmedian $43 · 10th to 90th $33 to $191
$20$50$100facility $76professional $43

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$42.66
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$36.31
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$36.31
Typical High
$75.86
Quartz
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$181.97
Quartz
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$190.55

Where Wisconsin sits

The same service costs 794.3 times more in Kentucky than in New York. 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.

Wisconsin· 21st of 36

$42.66

KY $28,184NY $35.48

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.