go back

Physical Therapy Evaluation, Moderate Complexity

Massachusetts 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 $182 · 10th–90th $60$3550%10%10th90th$182Professionalmedian $100 · 10th–90th $55$3090%10%10th90th$100$50.0$200.0$1.0K$5.0K$20.0K

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
$60.26
Median
$181.97
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$331.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$630.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$239.88
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$89.13
Typical High
$194.98
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$85.11
Typical High
$162.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$263.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$141.25
Typical High
$309.03
Health New England
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$154.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$630.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$281.84
Tufts
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$426.58
Tufts
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$269.15