97161 · Delaware · every payer
What every payer pays for 97161 in Delaware
Across 3 commercial payers in Delaware, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $75.90 per session. Delaware Medicaid's fee-for-service rate, $49.24 per session, is 35% below that commercial median.
- Commercial median
- $75.90per session
- Delaware Medicaid
- $49.24
- Medicare
- $97.53
On this page
Payer mix
97161 in Delaware, by payer type
Medicare's physician fee schedule pays $97.53 in Delaware.
By payer
Each payer's 97161 rate in Delaware
FAQ
Frequently asked questions
What do commercial payers pay for 97161 in Delaware?
The median of 3 payers' medians is $75.90 per session, from 84 published rates in the October 2026 files.
How does Delaware Medicaid compare with commercial insurance for 97161?
Delaware Medicaid pays $49.24 per session, 35% below the commercial median.
What does Medicare pay for 97161 in Delaware?
$97.53 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in Delaware?
UnitedHealthcare's median is $71.11 per session, from 63 rates and 109 providers.
What does Horizon BCBS NJ pay for 97161 in Delaware?
Horizon BCBS NJ's median is $75.62 per session, from 10 rates and 13 providers.