97161 · Texas · every payer
What every payer pays for 97161 in Texas
12 commercial payers publish Texas rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $88.19 per session. Texas Medicaid's fee-for-service rate, $116.19 per session, is 32% above that commercial median.
- Commercial median
- $88.19per session
- Texas Medicaid
- $116.19
- Medicare
- $93.69+
On this page
Payer mix
97161 in Texas, by payer type
Medicare's physician fee schedule pays $93.69–$100.60 in Texas across 8 localities.
By payer
Each payer's 97161 rate in Texas
FAQ
Frequently asked questions
What do commercial payers pay for 97161 in Texas?
The median of 12 payers' medians is $88.19 per session, from 568 published rates in the October 2026 files.
How does Texas Medicaid compare with commercial insurance for 97161?
Texas Medicaid pays $116.19 per session, 32% above the commercial median.
What does Medicare pay for 97161 in Texas?
$93.69 to $100.60 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in Texas?
UnitedHealthcare's median is $73.52 per session, from 215 rates and 2154 providers.
What does BCBS Texas pay for 97161 in Texas?
BCBS Texas's median is $82.33 per session, from 160 rates and 10549 providers.