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97161 · Iowa · every payer

What every payer pays for 97161 in Iowa

7 commercial payers publish Iowa rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $101.70 per session. Iowa Medicaid's fee-for-service rate, $73.33 per session, is 28% below that commercial median.

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

Commercial median
$101.70per session
Iowa Medicaid
$73.33
Medicare
$93.75
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Payer mix

97161 in Iowa, by payer type

Medicare's physician fee schedule pays $93.75 in Iowa.

Iowa Medicaid$73.33
Medicare$93.75
Commercial (7 payers)$101.70
UnitedHealthcare$82.70
Blue KC$103.93
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in Iowa

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$82.70 per session—67
Blue KCCommercial$103.93 per session—13
See every payer's 97161 rate in Iowa

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 Iowa?

The median of 7 payers' medians is $101.70 per session, from 137 published rates in the October 2026 files.

How does Iowa Medicaid compare with commercial insurance for 97161?

Iowa Medicaid pays $73.33 per session, 28% below the commercial median.

What does Medicare pay for 97161 in Iowa?

$93.75 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97161 in Iowa?

UnitedHealthcare's median is $82.70 per session, from 67 rates and 199 providers.

What does Blue KC pay for 97161 in Iowa?

Blue KC's median is $103.93 per session, from 13 rates and 14 providers.