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97161 · Missouri · every payer

What every payer pays for 97161 in Missouri

9 commercial payers publish Missouri rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $88.77 per session. Missouri Medicaid's fee-for-service rate, $85.88 per session, is 3.3% below that commercial median.

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

Commercial median
$88.77per session
Missouri Medicaid
$85.88
Medicare
$91.50+
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Payer mix

97161 in Missouri, by payer type

Medicare's physician fee schedule pays $91.50–$95.65 in Missouri across 3 localities.

Missouri Medicaid$85.88
Medicare$95.65$91.50 low
Commercial (9 payers)$88.77
UnitedHealthcare$73.34
Blue KC$101.70
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in Missouri

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$73.34 per session—99
Blue KCCommercial$101.70 per session—42
See every payer's 97161 rate in Missouri

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 Missouri?

The median of 9 payers' medians is $88.77 per session, from 265 published rates in the October 2026 files.

How does Missouri Medicaid compare with commercial insurance for 97161?

Missouri Medicaid pays $85.88 per session, 3.3% below the commercial median.

What does Medicare pay for 97161 in Missouri?

$91.50 to $95.65 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97161 in Missouri?

UnitedHealthcare's median is $73.34 per session, from 99 rates and 347 providers.

What does Blue KC pay for 97161 in Missouri?

Blue KC's median is $101.70 per session, from 42 rates and 338 providers.