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Physical Therapy Evaluation, High Complexity

Mississippi 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?

$85.11

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $89.13 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$81.28$64.57 to $95.50
FacilityA hospital or hospital-owned outpatient department$89.13$89.13 to $89.13

How much rates vary

Facilitymedian $89 · 10th to 90th $89 to $129Professionalmedian $81 · 10th to 90th $33 to $129
$50$100facility $89professional $81

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
$44.67
Median
$128.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$128.82
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$64.57
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$72.44
Median
$72.44
Typical High
$91.20
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$67.61
Typical High
$109.65
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$107.15
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$75.86
Typical High
$87.10

Where Mississippi 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.

Mississippi· 25th of 51

$85.11

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.