Tynbil: Know the *real* price for healthcare services

Rhode Island rates for HCPCS 97162

Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $120.23	Professional	$48.98	$81.28	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $12,302.69	Facility	$154.88	$204.17	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $100.00	Professional	$70.79	$85.11	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $181.97	Professional	$75.86	$104.71	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $125.89	Professional	$66.07	$91.20	$125.89