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See a sample rate comparisonCPT 97032 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Application Of A Modality To O, Application Of A Modality To One Or More Areas Electricalstimulation(Manual) Each 15 Minutes Application Of A Modality To One Or More Areas Electrical
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Physical Medicine and Rehabilitation Evaluations |
| Common Place of Service | 11 - Office 49 - Independent Clinic |
| Common Modifiers | GP - Services delivered under an outpatient physical therapy plan of care 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.70 national non-facility rate (2026) · View Medicare rates for 97032 |
| Medicaid Fee Schedule | $13.41 median of the 7 states in the free preview · View Medicaid rates for 97032 |
National average reimbursement for CPT 97032 by major payers:
$21.91
$16.79
$16.43
$16.95
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CPT 97032
5 of 25 sample ratesHigher to lower in this preview
Paul Moore
The Health Care Authority For Baptist Health, An Aff Of Uab Hlth Systm
$24.52Published rateKevin Schlessel
$16.78Published rateBankimchandra Patel
North Alabama Cardiology Center, P.C.
$13.64Published rateDonald Rhodes
East Alabama Heart And Vascular LLC
$12.89Published rateNasser Lakkis
$10.39Published rate
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See a sample payer proposalCPT 97032 vs. Other Physical Medicine and Rehabilitation Evaluations Codes
The CPT 97032 code is part of the Medicine Services and Procedures services used for Physical Medicine and Rehabilitation Evaluations. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 97032 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 97028-CPT | Low | Application Of A Modality To O, Application Of A Modality To One Or More Areas Ultraviolet Application Of A Modality To One Or Moreareas Ultraviolet |
| 97032-CPT | Low | Application Of A Modality To O, Application Of A Modality To One Or More Areas Electricalstimulation(Manual) Each 15 Minutes Application Of A Modality To One Or More Areas Electrical |
| 97033-CPT | Low | Drug Given By Current Device, Medication Delivery Through The Skin Surface By Using A Weak Electrical Charge (Iontophoresis). Typically Used By Physical Therapists To Treat Pain And Inflammation Of Soft Tissues. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 97032. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 97032 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find the cost of a specific medical procedure, you'll typically need to know its CPT (Current Procedural Terminology) code. Prices vary significantly based on the provider, your insurance plan, and your geographic location. For detailed fee schedule information specific to a CPT code and your location, you can utilize online lookup tools. We recommend using Payerprice, which offers a fee schedule lookup tool where you can search with a CPT code and specific location.
CPT (Current Procedural Terminology) codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for billing, processing insurance claims, and tracking healthcare services. Knowing the CPT code for a procedure is essential because it allows you to precisely identify the service and look up its associated costs, which can vary widely. Platforms like Payerprice use CPT codes to provide specific fee schedule information.
Prices for the same medical procedure can vary significantly due to several factors. These include the specific healthcare provider or facility, the negotiated rates with different insurance companies, the geographical location, the complexity of the case, and whether you are insured or paying out-of-pocket. Understanding these variations can be challenging, but utilizing tools that provide location-specific fee schedules, such as Payerprice, can help you compare and estimate costs more accurately.
For specific pricing information based on a CPT code and your particular location, it is highly recommended to use a specialized fee schedule lookup tool. Instead of general searches, you can search with your CPT code and location on platforms like Payerprice. They offer a comprehensive fee schedule lookup tool designed to provide relevant cost estimates and details based on these specific inputs.
If you want to compare prices for a specific medical service before receiving care, the first step is to ask your doctor or healthcare provider for the CPT code of the service. Once you have the CPT code, you can use a dedicated fee schedule lookup tool. We recommend using Payerprice, which allows you to search with the CPT code and your specific location to find relevant cost estimates and compare prices from different providers in your area.