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Physical Therapy Evaluation, High Complexity

Arizona 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?

$77.62

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $195 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$75.86$58.88 to $91.20
FacilityA hospital or hospital-owned outpatient department$195$95.50 to $347

How much rates vary

Facilitymedian $195 · 10th to 90th $74 to $437Professionalmedian $76 · 10th to 90th $55 to $245
$1.0$5.0$20.0$100.0$500.0facility $195professional $76

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
$81.28
Median
$275.42
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$245.47
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$131.83

Where Arizona 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.

Arizona $77.62 · 38th 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.