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Physical Therapy Evaluation, Moderate Complexity

Washington, DC 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 $191 · 10th–90th $78$2630%20%10th90th$191Professionalmedian $78 · 10th–90th $50$1100%50%10th90th$78$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
$77.62
Median
$190.55
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$77.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$165.96
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$245.47