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97161 · New Mexico · every payer

What every payer pays for 97161 in New Mexico

Across 9 commercial payers in New Mexico, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $82.28 per session. New Mexico Medicaid's fee-for-service rate, $141.72 per session, is 72% above that commercial median.

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

Commercial median
$82.28per session
New Mexico Medicaid
$141.72
Medicare
$94.11
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Payer mix

97161 in New Mexico, by payer type

Medicare's physician fee schedule pays $94.11 in New Mexico.

New Mexico Medicaid$141.72
Medicare$94.11
Commercial (9 payers)$82.28
BCBS New Mexico$92.90
UnitedHealthcare$82.23
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in New Mexico

PayerMedianPer hourRates (n)
BCBS New MexicoCommercial$92.90 per session—53
UnitedHealthcareCommercial$82.23 per session—35
See every payer's 97161 rate in New Mexico

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 New Mexico?

The median of 9 payers' medians is $82.28 per session, from 174 published rates in the October 2026 files.

How does New Mexico Medicaid compare with commercial insurance for 97161?

New Mexico Medicaid pays $141.72 per session, 72% above the commercial median.

What does Medicare pay for 97161 in New Mexico?

$94.11 on the RVU26B physician fee schedule (non-facility).

What does BCBS New Mexico pay for 97161 in New Mexico?

BCBS New Mexico's median is $92.90 per session, from 53 rates and 386 providers.

What does UnitedHealthcare pay for 97161 in New Mexico?

UnitedHealthcare's median is $82.23 per session, from 35 rates and 128 providers.