What every payer pays for 97161 in District of Columbia
Across 3 commercial payers in District of Columbia, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $99.73 per session. District of Columbia Medicaid's fee-for-service rate, $16.25 per session, is 84% below that commercial median.
- Commercial median
- $99.73per session
- District of Columbia Medicaid
- $16.25
- Medicare
- $108.88
On this page
97161 in District of Columbia, by payer type
Medicare's physician fee schedule pays $108.88 in District of Columbia.
Each payer's 97161 rate in District of Columbia
Frequently asked questions
What do commercial payers pay for 97161 in District of Columbia?
The median of 3 payers' medians is $99.73 per session, from 56 published rates in the October 2026 files.
How does District of Columbia Medicaid compare with commercial insurance for 97161?
District of Columbia Medicaid pays $16.25 per session, 84% below the commercial median.
What does Medicare pay for 97161 in District of Columbia?
$108.88 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in District of Columbia?
UnitedHealthcare's median is $99.73 per session, from 37 rates and 72 providers.
What does Kaiser Permanente pay for 97161 in District of Columbia?
Kaiser Permanente's median is $108.30 per session, from 10 rates and 12 providers.