Reddenda · Rate Intelligence · Virginia Beach-Chesapeake-Norfolk, VA-NC
97162 under UnitedHealthcare in Virginia Beach-Chesapeake-Norfolk, VA-NC
PT evaluation, moderate complexity · Local peer median $87.14 · High confidence
Local distribution · 122 providers · 122 rate records
- The local peer median for CPT 97162 under UnitedHealthcare in Virginia Beach-Chesapeake-Norfolk, VA-NC is $87.14, drawn from 122 distinct providers.Source: UnitedHealthcare’s published machine-readable files
- The bottom of the local market (P10) is $74.80 and the top (P90) is $97.69; the median-to-P90 spread is $10.55.Source: UnitedHealthcare’s published machine-readable files
- The lowest published rate in this market is $55.10; the highest is $531.10.Source: UnitedHealthcare’s published machine-readable files
- This benchmark is drawn from 122 individual rate records that UnitedHealthcare itself published for this code in this metro.Source: UnitedHealthcare’s published machine-readable files
- Medicare's national non-facility rate for CPT 97162 is $97.86, making the UnitedHealthcare local median 89% of Medicare.Source: Medicare Physician Fee Schedule; UnitedHealthcare’s published machine-readable files
- 38.5% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: UnitedHealthcare’s published machine-readable files
- A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)
122 providers bill this code to this payer in this metro.
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This is the local market for CPT 97162 (PT evaluation, moderate complexity) under UnitedHealthcare in Virginia Beach-Chesapeake-Norfolk, VA-NC. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.
Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.
Modeled from UnitedHealthcare's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: UnitedHealthcare’s published machine-readable files. Page generated 2026-08-24 09:38 UTC; the live index is queried in real time on every request.