Tynbil: Know the *real* price for healthcare services

Wyoming 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 $172.50 / $179.48 / $196.61	Facility	$172.50	$179.48	$196.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $110.00 / $130.54	Professional	$83.03	$110.00	$130.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $180.00 / $180.00	Professional	$146.00	$180.00	$180.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility	$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $118.59 / $211.82	Professional	$82.30	$118.59	$211.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $87.70 / $108.01	Professional	$77.61	$87.70	$108.01