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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 October 2026.

How much does Physical Therapy Evaluation, High Complexity cost?

$77.62

Typical negotiated rate. In Louisiana, October 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 $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$75.86$64.57 to $81.28
FacilityA hospital or hospital-owned outpatient department$102$102 to $166

How much rates vary

Facilitymedian $102 · 10th to 90th $83 to $224Professionalmedian $76 · 10th to 90th $51 to $85
$50$100$200facility $102professional $76

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
$75.86
Median
$83.18
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$77.62
Typical High
$93.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$38.90
Typical High
$39.81
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$158.49
Typical High
$251.19
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$70.79
Typical High
$81.28
Christus
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$47.86
Typical High
$95.50
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$74.13
Typical High
$87.10
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Louisiana 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.

Louisiana· 41st of 51

$77.62

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.