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Physical Therapy Evaluation, Lower Complexity

Mississippi 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?

$87.10

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $100 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$85.11$64.57 to $129
FacilityA hospital or hospital-owned outpatient department$100$85.11 to $129

How much rates vary

Facilitymedian $100 · 10th to 90th $65 to $257Professionalmedian $85 · 10th to 90th $49 to $155
$50$100$200facility $100professional $85

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
$64.57
Median
$128.82
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$114.82

Where Mississippi 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.

Mississippi· 22nd of 51

$87.10

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.