97161 · Maine · every payer
What every payer pays for 97161 in Maine
3 commercial payers publish Maine rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $100.71 per session. Maine Medicaid's fee-for-service rate, $68.09 per session, is 32% below that commercial median.
- Commercial median
- $100.71per session
- Maine Medicaid
- $68.09
- Medicare
- $94.05+
On this page
Payer mix
97161 in Maine, by payer type
Medicare's physician fee schedule pays $94.05–$97.33 in Maine across 2 localities.
By payer
Each payer's 97161 rate in Maine
FAQ
Frequently asked questions
What do commercial payers pay for 97161 in Maine?
The median of 3 payers' medians is $100.71 per session, from 48 published rates in the October 2026 files.
How does Maine Medicaid compare with commercial insurance for 97161?
Maine Medicaid pays $68.09 per session, 32% below the commercial median.
What does Medicare pay for 97161 in Maine?
$94.05 to $97.33 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in Maine?
UnitedHealthcare's median is $100.71 per session, from 35 rates and 78 providers.
What does BCBS Texas pay for 97161 in Maine?
BCBS Texas's median is $82.33 per session, from 8 rates and 14 providers.