RC 424

Physical Therapy Evaluation or Reevaluation

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.

Generation details were not recorded for this description.

Original text from hospital filings

HC PT EVAL LOW COMPLEX 20 MIN

Payers reporting RC 424

Payer pricing summary

Low

$72

Average

$822

Median

$220

High

$17.3k

Payer rate distribution

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#
1	Cigna case rate · outpatient · +29 other terms	166	$225	$262	$101	38%	2,193–2,238	$1 – $548
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	289	$99	$195	$169	87%	1,172–1,253	$1 – $1.1k
3	Anthem fee schedule · outpatient · +28 other terms	110	$104	$165	$131	80%	416–506	$21 – $2.1k
4	Molina fee schedule · outpatient · +26 other terms	81	$88	$152	$184	121%	370–469	$1 – $1.4k
5	Bcbs In fee schedule · both	11	$173	$169	$33	20%	322–538	$63 – $189
6	Bcbs Al facility · other · outpatient · +3 other terms	6	$51	$54	$7	13%	199–217	$28 – $62
7	Tricare facility · fee schedule · outpatient · +15 other terms	108	$85	$89	$39	44%	93–120	$6 – $588
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +29 other terms	212	$104	$205	$909	444%	64–388	$0 – $13.1k
9	Sanford Health Plan fee schedule · outpatient · +11 other terms	21	$93	$127	$85	67%	59–68	$67 – $510
10	Humana fee schedule · outpatient · +27 other terms	183	$91	$98	$80	81%	45–198	$1 – $781
11	WellCare fee schedule · outpatient · +20 other terms	94	$90	$91	$37	41%	10–100	$18 – $441
12	Medica fee schedule · outpatient · +20 other terms	37	$206	$198	$87	44%	9–90	$26 – $516
13	Aetna Better Health fee schedule · outpatient · +16 other terms	38	$71	$81	$34	43%	4–40	$1 – $216
14	Caresource fee schedule · outpatient · +19 other terms	45	$97	$164	$58	35%	3–30	$1 – $648
15	Baylor Scott White Health Plan facility · fee schedule · both · +1 other terms	1	$103	$103	$37	36%	3–30	$54 – $142
16	Bcbs Mt fee schedule · inpatient · +2 other terms	1	$128	$128	$30	23%	2–20	$98 – $157
17	Wellmark facility · fee schedule · both · +13 other terms	32	$113	$187	$136	73%	1–10	$47 – $674
18	Aetna facility · fee schedule · outpatient · +32 other terms	257	$88	$112	$97	87%	—	$6 – $1.6k
19	Devoted facility · fee schedule · outpatient · +16 other terms	78	$87	$89	$16	18%	—	$36 – $139
20	MultiPlan fee schedule · outpatient · +17 other terms	78	$281	$285	$190	66%	—	$1 – $1.6k
21	Kaiser fee schedule · outpatient · +21 other terms	73	$166	$183	$157	86%	—	$1 – $1.2k
22	Medicaid facility · fee schedule · outpatient · +16 other terms	64	$82	$86	$25	29%	—	$10 – $199
23	Medicare facility · fee schedule · outpatient · +15 other terms	58	$90	$90	$27	30%	—	$6 – $290
24	Ambetter fee schedule · both · +18 other terms	57	$155	$147	$63	42%	—	$0 – $494
25	Healthcare Highways case rate · outpatient · +5 other terms	43	$219	$256	$63	25%	—	$211 – $364

Page 1 of 3 · 71 payers

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