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Physical Therapy Evaluation, Moderate Complexity

Indiana 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 $71$3240%10%10th90th$191Professionalmedian $74 · 10th–90th $55$1120%10%20%10th90th$74$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$70.79
Median
$199.53
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$95.50
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$128.82