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Physical Therapy Evaluation, High Complexity

Arkansas 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?

$72.44

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $102 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 5 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$70.79$58.88 to $87.10
FacilityA hospital or hospital-owned outpatient department$102$85.11 to $102

How much rates vary

Facilitymedian $102 · 10th to 90th $71 to $145Professionalmedian $71 · 10th to 90th $48 to $129
$50.0$100.0$200.0$500.0facility $102professional $71

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
$70.79
Median
$89.13
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$112.20

Where Arkansas 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.

Arkansas $72.44 · 46th 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.