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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 October 2026.

How much does Physical Therapy Evaluation, High Complexity cost?

$87.10

Typical physician fee. In Nevada, October 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $70.79 to $97.72.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $186 · 10th to 90th $87 to $603Professionalmedian $87 · 10th to 90th $63 to $117
$1$10$100$1Kfacility $186professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$186.21
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$87.10
Typical High
$93.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$43.65
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$85.11
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$69.18
Typical High
$83.18
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$79.43
Typical High
$141.25
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$0.79
Typical High
$147.91
Select Health
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$87.10
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$87.10
Typical High
$112.20
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
$64.57
Median
$77.62
Typical High
$97.72

Where Nevada 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.

Nevada· 23rd of 51

$87.10

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.