97161 · New York · every payer
What every payer pays for 97161 in New York
Across 10 commercial payers in New York, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $87.70 per session. New York Medicaid publishes no fee-for-service rate for 97161.
- Commercial median
- $87.70per session
- New York Medicaid
- —
- Medicare
- $95.46+
On this page
Payer mix
97161 in New York, by payer type
Medicare's physician fee schedule pays $95.46–$110.15 in New York across 5 localities.
By payer
Each payer's 97161 rate in New York
FAQ
Frequently asked questions
What do commercial payers pay for 97161 in New York?
The median of 10 payers' medians is $87.70 per session, from 521 published rates in the October 2026 files.
What does Medicare pay for 97161 in New York?
$95.46 to $110.15 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in New York?
UnitedHealthcare's median is $87.70 per session, from 301 rates and 1086 providers.
What does Horizon BCBS NJ pay for 97161 in New York?
Horizon BCBS NJ's median is $78.12 per session, from 51 rates and 325 providers.