Training an LLM at a frontier lab? Get bulk hospital pricing data.Contact sales@medprice.ai →

Payers and negotiated rates for CPT 97161-GP | medprice.ai

PT EVAL LOW COMPLEX

Payers reporting CPT 97161-GP

i

Payer pricing summary

i

Low

$95

Average

$151

Median

$136

High

$228

Payer rate distribution

i

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · both · +4 other terms	1	$95	$95	—	—	—	$95 – $95
2	Blue Cross Blue Shield percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$228	$228	—	—	—	$228 – $228
3	Cigna fee schedule · both · +2 other terms	1	$95	$95	—	—	—	$95 – $95
4	Excellus facility · case rate · outpatient · +2 other terms	1	$267	$267	$171	64%	—	$95 – $438
5	Humana fee schedule · both · +1 other terms	1	$95	$95	—	—	—	$95 – $95
6	UnitedHealthcare fee schedule · both · +4 other terms	1	$95	$95	—	—	—	$95 – $95
7	WellCare fee schedule · both · +2 other terms	1	$95	$95	—	—	—	$95 – $95

← Hospitals reporting CPT 97161-GP · Snapshot 20261112T181611Z-3fa9fb76