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Physical Therapy Evaluation, Lower Complexity

Nevada 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?

$79.43

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $186 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$79.43$58.88 to $105
FacilityA hospital or hospital-owned outpatient department$186$93.33 to $603

How much rates vary

Facilitymedian $186 · 10th to 90th $87 to $603Professionalmedian $79 · 10th to 90th $56 to $331
$50$100$200$500facility $186professional $79

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
$87.10
Median
$199.53
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$100.00
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.25
Median
$102.33
Typical High
$154.88
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Select Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$104.71
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$141.25

Where Nevada 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.

Nevada· 39th of 51

$79.43

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.