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Physical Therapy Evaluation, Lower Complexity

Louisiana 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 Louisiana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $105 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$69.18$60.26 to $81.28
FacilityA hospital or hospital-owned outpatient department$105$81.28 to $186

How much rates vary

Facilitymedian $105 · 10th to 90th $78 to $251Professionalmedian $69 · 10th to 90th $50 to $100
$50$100$200$500facility $105professional $69

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
$77.62
Median
$100.00
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$85.11
Christus
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$93.33

Where Louisiana 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.

Louisiana· 40th 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.