Physical therapy plan of care re-evaluation

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

PR ATHLETIC TRAIN RE-EVAL

Payers reporting CPT 97172

Payer pricing summary

Low

$21

Average

$806

Median

$134

High

$16.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	120	$161	$166	$76	46%	—	$0 – $357
2	Aetna fee schedule · outpatient · +17 other terms	100	$103	$227	$816	359%	—	$1 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +17 other terms	73	$130	$134	$111	83%	—	$1 – $560
4	Humana fee schedule · outpatient · +14 other terms	59	$188	$144	$91	63%	—	$1 – $256
5	Cigna fee schedule · outpatient · +18 other terms	48	$291	$259	$132	51%	—	$22 – $521
6	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$205	$187	$70	38%	—	$19 – $346
7	Anthem fee schedule · outpatient · +12 other terms	17	$40	$40	—	—	—	$40 – $40
8	Medica fee schedule · outpatient · +7 other terms	17	$55	$60	$29	49%	—	$32 – $208
9	MultiPlan fee schedule · outpatient · +12 other terms	16	$109	$77	$65	85%	—	$29 – $238
10	Caresource facility · case rate · outpatient · +5 other terms	15	$63	$68	$16	23%	—	$42 – $108
11	Molina facility · case rate · outpatient · +7 other terms	15	$62	$68	$16	23%	—	$44 – $106
12	Bcbs Nj other · outpatient	12	$66	$66	—	—	—	$66 – $66
13	Optum facility · case rate · outpatient · +7 other terms	11	$59	$64	$14	22%	—	$53 – $96
14	Ambetter other · outpatient · +3 other terms	10	$161	$161	—	—	—	$161 – $161
15	Highmark fee schedule · outpatient · +3 other terms	10	$26	$26	$0	2%	—	$25 – $27
16	Regence fee schedule · outpatient · +6 other terms	10	$43	$43	$15	35%	—	$29 – $79
17	Aetna Better Health fee schedule · inpatient · +1 other terms	9	$20	$36	$30	84%	—	$20 – $93
18	Healthpartners facility · per diem · outpatient · +5 other terms	9	$75	$75	$4	6%	—	$70 – $80
19	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	9	$123	$957	$5.2k	545%	—	$61 – $33.5k
20	Kaiser facility · fee schedule · outpatient · +4 other terms	7	$128	$128	—	—	—	$128 – $128
21	Phcs fee schedule · outpatient · +3 other terms	7	$96	$116	$50	43%	—	$96 – $238
22	Bcbs Id fee schedule · outpatient · +2 other terms	4	$99	$99	—	—	—	$99 – $99
23	Ucare professional · percent of total billed charges · outpatientfrom % of charges	4	$221	$204	$15	7%	—	$182 – $221
24	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$87	$90	$5	6%	—	$86 – $98
25	First Health professional · fee schedule · both · +8 other terms	3	$26	$26	—	—	—	$26 – $26

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