97161 · Virginia · every payer
What every payer pays for 97161 in Virginia
Across 7 commercial payers in Virginia, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $77.25 per session. Virginia Medicaid's fee-for-service rate, $105.84 per session, is 37% above that commercial median.
- Commercial median
- $77.25per session
- Virginia Medicaid
- $105.84
- Medicare
- $96.98
On this page
Payer mix
97161 in Virginia, by payer type
Medicare's physician fee schedule pays $96.98 in Virginia.
By payer
Each payer's 97161 rate in Virginia
FAQ
Frequently asked questions
What do commercial payers pay for 97161 in Virginia?
The median of 7 payers' medians is $77.25 per session, from 302 published rates in the October 2026 files.
How does Virginia Medicaid compare with commercial insurance for 97161?
Virginia Medicaid pays $105.84 per session, 37% above the commercial median.
What does Medicare pay for 97161 in Virginia?
$96.98 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97161 in Virginia?
UnitedHealthcare's median is $76.39 per session, from 194 rates and 679 providers.
What does Kaiser Permanente pay for 97161 in Virginia?
Kaiser Permanente's median is $108.29 per session, from 38 rates and 55 providers.