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Physical Therapy Evaluation, High Complexity

Alaska rates for HCPCS 97163

A physical therapist assesses a person's movement, strength, and physical function to understand how an injury or condition is limiting them, then develops a plan of care. This version applies to more complicated cases, involving a more extensive health history and a higher number of factors affecting movement and function than a simpler evaluation.

Rates data updated July 2026.

How much does Physical Therapy Evaluation, High Complexity cost?

$170

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $123 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$85.11 to $269
FacilityA hospital or hospital-owned outpatient department$123$83.18 to $200

How much rates vary

Facilitymedian $123 · 10th to 90th $76 to $339Professionalmedian $178 · 10th to 90th $59 to $331
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $123professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$281.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$446.68
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$229.09
Typical High
$257.04

Where Alaska sits

The same service costs 2.6 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $170 · 1st of 51
AK $170DE $66.07

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.