97161 · South Carolina · every payer
What every payer pays for 97161 in South Carolina
9 commercial payers publish South Carolina rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $82.33 per session. South Carolina Medicaid's fee-for-service rate, $83.17 per session, is 1.0% above that commercial median.
- Commercial median
- $82.33per session
- South Carolina Medicaid
- $83.17
- Medicare
- $94.31
On this page
Payer mix
97161 in South Carolina, by payer type
Medicare's physician fee schedule pays $94.31 in South Carolina.
By payer
Each payer's 97161 rate in South Carolina
FAQ
Frequently asked questions
What do commercial payers pay for 97161 in South Carolina?
The median of 9 payers' medians is $82.33 per session, from 330 published rates in the October 2026 files.
How does South Carolina Medicaid compare with commercial insurance for 97161?
South Carolina Medicaid pays $83.17 per session, 1.0% above the commercial median.
What does Medicare pay for 97161 in South Carolina?
$94.31 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in South Carolina?
UnitedHealthcare's median is $77.82 per session, from 114 rates and 329 providers.
What does BCBS South Carolina pay for 97161 in South Carolina?
BCBS South Carolina's median is $142.04 per session, from 82 rates and 33 providers.