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Physical Therapy Evaluation, Moderate Complexity

South 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 $89$2340%50%10th90th$98Professionalmedian $98 · 10th–90th $63$1660%10%10th90th$98$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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$117.49
Avera
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$131.83
Avera
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$109.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$141.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$177.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$199.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$154.88