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Physical Therapy Evaluation, Moderate Complexity

Utah 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 $98 · 10th–90th $85$1410%20%10th90th$98Professionalmedian $93 · 10th–90th $58$3310%5%10%10th90th$93$50.0$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
$85.11
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$57.54
Median
$57.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$181.97
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$123.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$114.82
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$109.65