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97161 · North Dakota · every payer

What every payer pays for 97161 in North Dakota

3 commercial payers publish North Dakota rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $90.36 per session. North Dakota Medicaid's fee-for-service rate, $109.64 per session, is 21% above that commercial median.

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

Commercial median
$90.36per session
North Dakota Medicaid
$109.64
Medicare
$97.67
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Payer mix

97161 in North Dakota, by payer type

Medicare's physician fee schedule pays $97.67 in North Dakota.

North Dakota Medicaid$109.64
Medicare$97.67
Commercial (3 payers)$90.36
UnitedHealthcare$90.36
BCBS Oklahoma$82.20
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in North Dakota

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$90.36 per session—20
BCBS OklahomaCommercial$82.20 per session—7
See every payer's 97161 rate in North Dakota

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 North Dakota?

The median of 3 payers' medians is $90.36 per session, from 33 published rates in the October 2026 files.

How does North Dakota Medicaid compare with commercial insurance for 97161?

North Dakota Medicaid pays $109.64 per session, 21% above the commercial median.

What does Medicare pay for 97161 in North Dakota?

$97.67 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97161 in North Dakota?

UnitedHealthcare's median is $90.36 per session, from 20 rates and 64 providers.

What does BCBS Oklahoma pay for 97161 in North Dakota?

BCBS Oklahoma's median is $82.20 per session, from 7 rates and 2 providers.