Tynbil: Know the *real* price for healthcare services

Nationwide rates for HCPCS 97162

Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $141.30 / $306.23	Facility		$78.59	$141.30	$306.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $73.00 / $142.68	Professional		$57.12	$73.00	$142.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $119.16 / $119.16 / $119.16	Professional	25	$119.16	$119.16	$119.16
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $182.00	Facility		$74.83	$92.65	$182.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $78.94 / $133.19	Professional		$63.84	$78.94	$133.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $72.00 / $113.06	Facility		$65.00	$72.00	$113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $85.66 / $133.34	Professional		$61.97	$85.66	$133.34
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $86.50 / $124.33	Professional		$68.70	$86.50	$124.33

Nationwide rates for HCPCS 97162

See more rates by state