What every payer pays for 97163 in California
13 commercial payers publish California rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $98.89 per session. California Medicaid's fee-for-service rate, $135.56 per session, is 37% above that commercial median.
- Commercial median
- $98.89per session
- California Medicaid
- $135.56
- Medicare
- $103.01+
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97163 in California, by payer type
Medicare's physician fee schedule pays $103.01–$123.74 in California across 29 localities.
Each payer's 97163 rate in California
Frequently asked questions
What do commercial payers pay for 97163 in California?
The median of 13 payers' medians is $98.89 per session, from 802 published rates in the October 2026 files.
How does California Medicaid compare with commercial insurance for 97163?
California Medicaid pays $135.56 per session, 37% above the commercial median.
What does Medicare pay for 97163 in California?
$103.01 to $123.74 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97163 in California?
Kaiser Permanente's median is $108.30 per session, from 304 rates and 1303 providers.
What does UnitedHealthcare pay for 97163 in California?
UnitedHealthcare's median is $87.70 per session, from 270 rates and 2647 providers.