Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 97755 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.
Assistive Technology Assess, Assistive Technology Assessment Eg To Restore Augment Or Compensate For Existing Function Optimize Functional Tasks And Or Maximize Environmental Accessibility Direct One On One Contact With Written Report Each 15 Minutes
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Physical Medicine and Rehabilitation Evaluations |
| Common Place of Service | 11 - Office |
| Common Modifiers | GP - Services delivered under an outpatient physical therapy plan of care GO - Services delivered under an outpatient occupational therapy plan of care |
| Complexity Level | Low |
| Medicare Fee Schedule | $37.74 national non-facility rate (2026) · View Medicare rates for 97755 |
| Medicaid Fee Schedule | $31.17 median of the 8 states in the free preview · View Medicaid rates for 97755 |
National average reimbursement for CPT 97755 by major payers:
$47.14
$38.43
$34.11
$40.01
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 97755.
CPT 97755
5 of 25 sample ratesHigher to lower in this preview
Srishti Nangia
$91.76Published rateSyed Waliuddin
Valley Psychiatry And Counseling LLC
$61.97Published rateLynelle Thomas
$39.54Published rateSurya Sabhapathy
The Board Of Trustees Of The University Of Illinois
$34.70Published rateChristopher Raio
St Francis Hospital
$17.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 97755 vs. Other Physical Medicine and Rehabilitation Evaluations Codes
The CPT 97755 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 97755 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 |
|---|---|---|
| 97537-CPT | Low | Community Work Reintegration, Community Work Reintegration Training Eg Shopping Transportation Money Management Avocational Activities And Or Work Environment Modification Analysis Work Task Analysis Use Of Assistive Technology Device Adaptive Equipment Direct One On One Contact Each 15 Minutes |
| 97542-CPT | Low | Wheelchair Management/Propulsion Training |
| 97750-CPT | Low | Physical Performance Test, Physical Performance Test Or Measurement Eg Musculoskeletal Functional Capacity With Written Report Each 15 Minutes |
| 97755-CPT | Low | Assistive Technology Assess, Assistive Technology Assessment Eg To Restore Augment Or Compensate For Existing Function Optimize Functional Tasks And Or Maximize Environmental Accessibility Direct One On One Contact With Written Report Each 15 Minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 97755. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 97755 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 97755) and we'll show you how you compare in 15 minutes or less.