Physical therapy re-evaluation and care plan update

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PT RE-EVAL EST PLAN OF CARE

Payers reporting CPT 97164

Payer pricing summary

Low

$64

Average

$663

Median

$155

High

$12.1k

Payer rate distribution

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#
1	Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$130	$130	$1	1%	232	$129 – $132
2	Aetna fee schedule · outpatient · +37 other terms	643	$70	$138	$92	67%	30–66	$1 – $865
3	UnitedHealthcare fee schedule · outpatient · +36 other terms	602	$68	$107	$114	107%	26–116	$1 – $1.1k
4	Anthem fee schedule · outpatient · +33 other terms	183	$70	$88	$92	104%	16–34	$28 – $734
5	Kaiser fee schedule · outpatient · +24 other terms	94	$97	$115	$78	68%	14–32	$57 – $554
6	Humana fee schedule · outpatient · +34 other terms	442	$66	$88	$87	99%	8–80	$1 – $544
7	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	476	$97	$137	$92	67%	5–50	$1 – $682
8	Bcbs In fee schedule · both	11	$129	$129	$0	0%	5–50	$129 – $129
9	Cigna fee schedule · outpatient · +34 other terms	242	$90	$160	$108	67%	4–40	$27 – $1.8k
10	Bcbs Al facility · other · outpatient · +4 other terms	6	$51	$52	$11	21%	4–40	$28 – $62
11	WellCare fee schedule · outpatient · +25 other terms	276	$65	$66	$10	15%	1–10	$20 – $137
12	Tricare facility · fee schedule · outpatient · +19 other terms	115	$64	$66	$24	37%	1–10	$54 – $261
13	Caresource fee schedule · outpatient · +21 other terms	85	$69	$129	$58	45%	1–10	$1 – $186
14	Baylor Scott White Health Plan facility · fee schedule · both · +1 other terms	1	$54	$54	—	—	1–10	$54 – $54
15	Molina fee schedule · outpatient · +31 other terms	226	$90	$94	$50	53%	—	$1 – $497
16	Devoted fee schedule · outpatient · +17 other terms	170	$64	$63	$4	7%	—	$55 – $72
17	Cigna Healthspring fee schedule · outpatient · +9 other terms	133	$66	$65	$4	7%	—	$58 – $79
18	Ambetter facility · fee schedule · outpatient · +21 other terms	100	$112	$103	$27	26%	—	$68 – $207
19	MultiPlan fee schedule · outpatient · +20 other terms	71	$123	$151	$105	70%	—	$60 – $468
20	Oscar fee schedule · outpatient · +20 other terms	70	$81	$86	$39	45%	—	$1 – $186
21	Amerihealth Caritas fee schedule · outpatient · +14 other terms	65	$61	$68	$20	30%	—	$27 – $150
22	Medicaid facility · fee schedule · outpatient · +18 other terms	63	$61	$65	$21	32%	—	$10 – $199
23	Optum fee schedule · outpatient · +24 other terms	62	$66	$85	$39	46%	—	$57 – $248
24	Highmark facility · fee schedule · outpatient · +20 other terms	61	$55	$84	$56	67%	—	$28 – $359
25	Medicare fee schedule · both · +16 other terms	60	$65	$74	$6	8%	—	$61 – $94

Page 1 of 3 · 71 payers