Tynbil: Know the *real* price for healthcare services

Washington, DC rates for HCPCS 97161

Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $241.12 / $2,748.51	Facility	$92.42	$241.12	$2,748.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $78.33 / $78.33	Professional	$58.45	$78.33	$78.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $78.73 / $288.00	Professional	$73.66	$78.73	$288.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $81.09 / $101.29	Professional	$61.97	$81.09	$101.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $110.07 / $110.07	Professional	$103.06	$110.07	$110.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $99.73 / $237.11	Professional	$64.45	$99.73	$237.11