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Physical Therapy Evaluation, Moderate Complexity

New Hampshire 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 $117 · 10th–90th $63$3470%20%10th90th$117Professionalmedian $107 · 10th–90th $63$2240%10%10th90th$107$50.0$100.0$200.0

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
$63.10
Median
$117.49
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$204.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$208.93
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$123.03
Well Sense
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70