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Physical Therapy Evaluation, Lower Complexity

Oklahoma 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?

$81.28

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $81.28 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$83.18$69.18 to $120
FacilityA hospital or hospital-owned outpatient department$81.28$69.18 to $105

How much rates vary

Facilitymedian $81 · 10th to 90th $60 to $135Professionalmedian $83 · 10th to 90th $62 to $129
$50$100$200facility $81professional $83

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
$69.18
Median
$72.44
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$81.28
Typical High
$123.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$104.71

Where Oklahoma 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.

Oklahoma· 33rd of 51

$81.28

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.