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Physical Therapy Evaluation, Moderate Complexity

Alabama rates for HCPCS 97162

This is an initial evaluation by a physical therapist to assess a person's condition, movement, and physical function in order to build a treatment plan. It reflects a moderate level of clinical complexity, more involved than the most straightforward evaluations but less involved than the most complex cases.

Facilitymedian $95 · 10th–90th $54$1410%20%40%10th90th$95Professionalmedian $79 · 10th–90th $55$1660%10%10th90th$79$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$104.71