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97161 · California · every payer

What every payer pays for 97161 in California

12 commercial payers publish California rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $90.30 per session. California Medicaid publishes no fee-for-service rate for 97161.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$90.30per session
California Medicaid
—
Medicare
$103.01+
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Payer mix

97161 in California, by payer type

Medicare's physician fee schedule pays $103.01–$123.74 in California across 29 localities.

Medicare$123.74$103.01 low
Commercial (12 payers)$90.30
Kaiser Permanente$108.30
UnitedHealthcare$87.70
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in California

PayerMedianPer hourRates (n)
Kaiser PermanenteCommercial$108.30 per session—303
UnitedHealthcareCommercial$87.70 per session—270
See every payer's 97161 rate in California

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97161 in California?

The median of 12 payers' medians is $90.30 per session, from 795 published rates in the October 2026 files.

What does Medicare pay for 97161 in California?

$103.01 to $123.74 on the RVU26B physician fee schedule (non-facility).

What does Kaiser Permanente pay for 97161 in California?

Kaiser Permanente's median is $108.30 per session, from 303 rates and 1307 providers.

What does UnitedHealthcare pay for 97161 in California?

UnitedHealthcare's median is $87.70 per session, from 270 rates and 2647 providers.