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Physical Therapy Evaluation, Lower Complexity

Alaska rates for HCPCS 97161

This is an initial evaluation by a physical therapist for a condition involving a limited number of body areas and a fairly stable or predictable clinical picture. The therapist reviews the patient's history, examines movement and function, and creates a plan of care. It's typically used for straightforward cases rather than complex or evolving conditions.

Rates data updated July 2026.

How much does Physical Therapy Evaluation, Lower Complexity cost?

$166

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $117 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$170$85.11 to $263
FacilityA hospital or hospital-owned outpatient department$117$83.18 to $200

How much rates vary

Facilitymedian $117 · 10th to 90th $76 to $275Professionalmedian $170 · 10th to 90th $59 to $331
$100$200$500$1K$2Kfacility $117professional $170

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$281.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$446.68
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$229.09
Typical High
$257.04

Where Alaska sits

The same service costs 3.2 times more in West Virginia than in Delaware. 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.

Alaska· 2nd of 51

$166

WV $209DE $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.