What every payer pays for 97161 in New Jersey
7 commercial payers publish New Jersey rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $82.33 per session. New Jersey Medicaid's fee-for-service rate, $42.07 per session, is 49% below that commercial median.
- Commercial median
- $82.33per session
- New Jersey Medicaid
- $42.07
- Medicare
- $104.20+
On this page
97161 in New Jersey, by payer type
Medicare's physician fee schedule pays $104.20–$108.50 in New Jersey across 2 localities.
Each payer's 97161 rate in New Jersey
Frequently asked questions
What do commercial payers pay for 97161 in New Jersey?
The median of 7 payers' medians is $82.33 per session, from 579 published rates in the October 2026 files.
How does New Jersey Medicaid compare with commercial insurance for 97161?
New Jersey Medicaid pays $42.07 per session, 49% below the commercial median.
What does Medicare pay for 97161 in New Jersey?
$104.20 to $108.50 on the RVU26B physician fee schedule (non-facility).
What does Horizon BCBS NJ pay for 97161 in New Jersey?
Horizon BCBS NJ's median is $78.12 per session, from 194 rates and 2325 providers.
What does UnitedHealthcare pay for 97161 in New Jersey?
UnitedHealthcare's median is $70.73 per session, from 169 rates and 635 providers.