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Physical Therapy Evaluation, Moderate Complexity

West Virginia 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 $93 · 10th–90th $93$1050%50%90th$93Professionalmedian $129 · 10th–90th $63$2090%20%40%10th90th$129$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
$93.33
Median
$93.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$158.49
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$102.33
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$467.74
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$131.83