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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 October 2026.

How much does Physical Therapy Evaluation, High Complexity cost?

$135

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $102 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$70.79 to $135
FacilityA hospital or hospital-owned outpatient department$102$102 to $141

How much rates vary

Facilitymedian $102 · 10th to 90th $98 to $145Professionalmedian $135 · 10th to 90th $69 to $135
$50$100facility $102professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$125.89
Median
$128.82
Typical High
$128.82
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$144.54
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$44.67
Typical High
$120.23
Qualchoice
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Qualchoice
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$144.54
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$79.43
Typical High
$120.23

Where Arkansas sits

The same service costs 3.3 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arkansas· 4th of 51

$135

AK $200FL $60.26

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.