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Physical Therapy Evaluation, Moderate Complexity

Tennessee 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 $115 · 10th–90th $62$6310%5%10%10th90th$115Professionalmedian $71 · 10th–90th $55$1510%10%20%10th90th$71$50.0$100.0$200.0$500.0$1.0K

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
$61.66
Median
$107.15
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$83.18
Typical High
$151.36
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$630.96
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$100.00