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Physical Therapy Evaluation, Moderate Complexity

Minnesota 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 $224 · 10th–90th $98$4570%5%10%10th90th$224Professionalmedian $138 · 10th–90th $65$2820%10%10th90th$138$20.0$50.0$100.0$200.0$500.0$1.0K

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
$91.20
Median
$97.72
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$173.78
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$457.09
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$288.40