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Physical Therapy Evaluation, High Complexity

Louisiana 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 Louisiana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $100 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$69.18$60.26 to $81.28
FacilityA hospital or hospital-owned outpatient department$100$81.28 to $204

How much rates vary

Facilitymedian $100 · 10th to 90th $78 to $251Professionalmedian $69 · 10th to 90th $50 to $100
$50.0$100.0$200.0$500.0facility $100professional $69

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
$77.62
Median
$97.72
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$89.13
Christus
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$91.20

Where Louisiana 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.

Louisiana $77.62 · 36th 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.