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97161 · Ohio · every payer

What every payer pays for 97161 in Ohio

Across 8 commercial payers in Ohio, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $82.33 per session. Ohio Medicaid's fee-for-service rate, $72.62 per session, is 12% below that commercial median.

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

Commercial median
$82.33per session
Ohio Medicaid
$72.62
Medicare
$93.86
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Payer mix

97161 in Ohio, by payer type

Medicare's physician fee schedule pays $93.86 in Ohio.

Ohio Medicaid$72.62
Medicare$93.86
Commercial (8 payers)$82.33
UnitedHealthcare$75.75
Kaiser Permanente$108.30
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in Ohio

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$75.75 per session—172
Kaiser PermanenteCommercial$108.30 per session—21
See every payer's 97161 rate in Ohio

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 Ohio?

The median of 8 payers' medians is $82.33 per session, from 259 published rates in the October 2026 files.

How does Ohio Medicaid compare with commercial insurance for 97161?

Ohio Medicaid pays $72.62 per session, 12% below the commercial median.

What does Medicare pay for 97161 in Ohio?

$93.86 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97161 in Ohio?

UnitedHealthcare's median is $75.75 per session, from 172 rates and 586 providers.

What does Kaiser Permanente pay for 97161 in Ohio?

Kaiser Permanente's median is $108.30 per session, from 21 rates and 27 providers.