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Physical Therapy Evaluation, Moderate Complexity

North Dakota 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 $98 · 10th–90th $87$3020%20%10th90th$98Professionalmedian $91 · 10th–90th $59$2510%10%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
$87.10
Median
$97.72
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$239.88