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Physical Therapy Evaluation, Moderate Complexity

Rhode Island 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.

Facilitymedian $200 · 10th–90th $98$12,3030%20%10th90th$200Professionalmedian $74 · 10th–90th $49$950%20%10th90th$74$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$72.44
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$125.89