97161 · Rhode Island · every payer
What every payer pays for 97161 in Rhode Island
Across 4 commercial payers in Rhode Island, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $85.47 per session. Rhode Island Medicaid's fee-for-service rate, $105.04 per session, is 23% above that commercial median.
- Commercial median
- $85.47per session
- Rhode Island Medicaid
- $105.04
- Medicare
- $100.33
On this page
Payer mix
97161 in Rhode Island, by payer type
Medicare's physician fee schedule pays $100.33 in Rhode Island.
By payer
Each payer's 97161 rate in Rhode Island
FAQ
Frequently asked questions
What do commercial payers pay for 97161 in Rhode Island?
The median of 4 payers' medians is $85.47 per session, from 49 published rates in the October 2026 files.
How does Rhode Island Medicaid compare with commercial insurance for 97161?
Rhode Island Medicaid pays $105.04 per session, 23% above the commercial median.
What does Medicare pay for 97161 in Rhode Island?
$100.33 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in Rhode Island?
UnitedHealthcare's median is $88.61 per session, from 32 rates and 68 providers.
What does Horizon BCBS NJ pay for 97161 in Rhode Island?
Horizon BCBS NJ's median is $77.15 per session, from 6 rates and 2 providers.