Physical therapy evaluation, high complexity

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

At Train Level III 15 Min

Payers reporting CPT 97171

Payer pricing summary

Low

$40

Average

$1.1k

Median

$162

High

$20k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	112	$490	$487	$254	52%	—	$0 – $1.1k
2	Aetna fee schedule · outpatient · +16 other terms	100	$176	$329	$805	244%	—	$1 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +15 other terms	73	$130	$148	$100	68%	—	$1 – $560
4	Humana fee schedule · outpatient · +14 other terms	59	$379	$281	$187	66%	—	$1 – $516
5	Cigna fee schedule · outpatient · +16 other terms	48	$291	$265	$122	46%	—	$44 – $521
6	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$625	$570	$215	38%	—	$19 – $1.1k
7	Anthem fee schedule · outpatient · +11 other terms	17	$59	$59	—	—	—	$59 – $59
8	Medica fee schedule · outpatient · +7 other terms	17	$100	$106	$28	26%	—	$63 – $208
9	MultiPlan fee schedule · outpatient · +11 other terms	16	$123	$101	$54	54%	—	$59 – $242
10	Caresource facility · case rate · outpatient · +5 other terms	15	$63	$68	$16	23%	—	$42 – $108
11	Molina facility · case rate · outpatient · +6 other terms	15	$62	$68	$16	23%	—	$44 – $106
12	Regence fee schedule · outpatient · +6 other terms	15	$60	$76	$27	36%	—	$47 – $156
13	Bcbs Nj other · outpatient	12	$66	$66	—	—	—	$66 – $66
14	Optum facility · case rate · outpatient · +6 other terms	11	$59	$64	$14	22%	—	$53 – $96
15	Ambetter other · outpatient · +3 other terms	10	$161	$161	—	—	—	$161 – $161
16	Highmark fee schedule · outpatient · +3 other terms	10	$53	$53	$1	2%	—	$50 – $53
17	Healthpartners facility · per diem · outpatient · +5 other terms	9	$75	$75	$4	6%	—	$70 – $80
18	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	9	$123	$957	$5.2k	545%	—	$61 – $33.5k
19	Aetna Better Health fee schedule · outpatient · +1 other terms	8	$39	$40	$3	7%	—	$39 – $48
20	Kaiser facility · fee schedule · outpatient · +4 other terms	7	$128	$128	—	—	—	$128 – $128
21	Phcs fee schedule · outpatient · +3 other terms	7	$109	$128	$47	37%	—	$109 – $242
22	Bcbs Id fee schedule · outpatient · +2 other terms	4	$198	$198	—	—	—	$198 – $198
23	Ucare professional · percent of total billed charges · outpatientfrom % of charges	4	$326	$309	$17	6%	—	$281 – $326
24	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$129	$134	$8	6%	—	$128 – $145
25	First Health professional · fee schedule · both · +8 other terms	3	$53	$53	—	—	—	$53 – $53

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