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Physical Therapy Evaluation, Moderate Complexity

Montana 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 $166 · 10th–90th $87$1860%20%40%10th90th$166Professionalmedian $91 · 10th–90th $58$3090%20%10th90th$91$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$158.49
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$158.49
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$177.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$87.10
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$138.04