Tynbil: Know the *real* price for healthcare services

Nationwide rates for HCPCS 97164

Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $100.00 / $275.42	Facility		$46.77	$100.00	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $147.91	Professional		$37.15	$53.70	$147.91
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $45.71 / $69.18 / $69.18	Professional	CQ	$45.71	$69.18	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $95.50 / $239.88	Facility		$53.70	$95.50	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $100.00	Professional		$28.18	$56.23	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $79.43 / $218.78	Facility		$57.54	$79.43	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $112.20	Professional		$38.90	$56.23	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $74.13	Facility		$53.70	$67.61	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $85.11	Professional		$43.65	$54.95	$85.11

Nationwide rates for HCPCS 97164

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