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Physical Therapy Evaluation, Moderate Complexity

Idaho 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 $123 · 10th–90th $91$2090%10%20%10th90th$123Professionalmedian $91 · 10th–90th $63$1700%10%20%10th90th$91$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
$95.50
Median
$114.82
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$147.91
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
$83.18
Median
$144.54
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$190.55
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$141.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$223.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$147.91
Select Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$91.20