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Physical Therapy Evaluation, High Complexity

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $186 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$77.62$58.88 to $97.72
FacilityA hospital or hospital-owned outpatient department$186$87.10 to $603

How much rates vary

Facilitymedian $186 · 10th to 90th $87 to $603Professionalmedian $78 · 10th to 90th $55 to $339
$1.0$5.0$20.0$100.0$500.0facility $186professional $78

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
$87.10
Median
$199.53
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$100.00
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$102.33
Typical High
$154.88
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Select Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$104.71
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$151.36

Where Nevada 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.

Nevada $77.62 · 37th 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.