Tynbil: Know the *real* price for healthcare services

Washington, DC 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	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $189.55 / $262.63	Facility	$92.42	$189.55	$262.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $78.33 / $78.33	Professional	$58.45	$78.33	$78.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $78.27 / $288.00	Professional	$78.27	$78.27	$288.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $81.09 / $101.29	Professional	$61.97	$81.09	$101.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $110.07 / $110.07	Professional	$103.06	$110.07	$110.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $96.23 / $249.59	Professional	$64.81	$96.23	$249.59