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Physical Therapy Evaluation, Moderate Complexity

Nebraska 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 $91$3470%10%20%10th90th$191Professionalmedian $141 · 10th–90th $74$3310%10%20%10th90th$141$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
$131.83
Median
$194.98
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$181.97
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$151.36
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$213.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$229.09
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$223.87