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Physical Therapy Evaluation, Moderate Complexity

Arizona 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.

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $71$4170%10%10th90th$186Professionalmedian $79 · 10th–90th $58$2090%10%20%10th90th$79$1.0$5.0$20.0$100.0$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
$81.28
Median
$239.88
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$245.47
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$229.09
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$138.04