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97161 · Vermont · every payer

What every payer pays for 97161 in Vermont

3 commercial payers publish Vermont rates for 97161 (physical therapy evaluation, level 1 of 3), and the median of their medians is $107.37 per session. Vermont Medicaid's fee-for-service rate, $83.02 per session, is 23% below that commercial median.

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

Commercial median
$107.37per session
Vermont Medicaid
$83.02
Medicare
$97.24
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Payer mix

97161 in Vermont, by payer type

Medicare's physician fee schedule pays $97.24 in Vermont.

Vermont Medicaid$83.02
Medicare$97.24
Commercial (3 payers)$107.37
UnitedHealthcare$122.19
Kaiser Permanente$107.37
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in Vermont

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$122.19 per session—22
Kaiser PermanenteCommercial$107.37 per session—10
See every payer's 97161 rate in Vermont

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 Vermont?

The median of 3 payers' medians is $107.37 per session, from 38 published rates in the October 2026 files.

How does Vermont Medicaid compare with commercial insurance for 97161?

Vermont Medicaid pays $83.02 per session, 23% below the commercial median.

What does Medicare pay for 97161 in Vermont?

$97.24 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97161 in Vermont?

UnitedHealthcare's median is $122.19 per session, from 22 rates and 40 providers.

What does Kaiser Permanente pay for 97161 in Vermont?

Kaiser Permanente's median is $107.37 per session, from 10 rates and 9 providers.