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Physical Therapy Evaluation, High Complexity

Minnesota 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?

$138

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $229 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 6 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$138$87.10 to $263
FacilityA hospital or hospital-owned outpatient department$229$138 to $380

How much rates vary

Facilitymedian $229 · 10th to 90th $91 to $457Professionalmedian $138 · 10th to 90th $65 to $282
$50.0$100.0$200.0$500.0$1.0Kfacility $229professional $138

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
$91.20
Median
$91.20
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$173.78
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$457.09
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$177.83
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$281.84

Where Minnesota 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.

Minnesota $138 · 2nd 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.