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Physical Therapy Evaluation, Lower Complexity

Arkansas 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?

$77.62

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $91.20 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 5 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$75.86$58.88 to $110
FacilityA hospital or hospital-owned outpatient department$91.20$70.79 to $102

How much rates vary

Facilitymedian $91 · 10th to 90th $71 to $151Professionalmedian $76 · 10th to 90th $49 to $155
$50$100$200facility $91professional $76

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
$70.79
Median
$87.10
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$114.82

Where Arkansas 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.

Arkansas· 42nd of 51

$77.62

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.