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97163 · Connecticut · every payer

What every payer pays for 97163 in Connecticut

Across 5 commercial payers in Connecticut, the middle payer's median for 97163 (physical therapy evaluation, level 3 of 3) is $79.39 per session. Connecticut Medicaid's fee-for-service rate, $62.18 per session, is 22% below that commercial median.

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

Commercial median
$79.39per session
Connecticut Medicaid
$62.18
Medicare
$102.51
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Payer mix

97163 in Connecticut, by payer type

Medicare's physician fee schedule pays $102.51 in Connecticut.

Connecticut Medicaid$62.18
Medicare$102.51
Commercial (5 payers)$79.39
UnitedHealthcare$91.60
Kaiser Permanente$109.31
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97163 rate in Connecticut

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$91.60 per session—81
Kaiser PermanenteCommercial$109.31 per session—16
See every payer's 97163 rate in Connecticut

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 97163 in Connecticut?

The median of 5 payers' medians is $79.39 per session, from 125 published rates in the October 2026 files.

How does Connecticut Medicaid compare with commercial insurance for 97163?

Connecticut Medicaid pays $62.18 per session, 22% below the commercial median.

What does Medicare pay for 97163 in Connecticut?

$102.51 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97163 in Connecticut?

UnitedHealthcare's median is $91.60 per session, from 81 rates and 223 providers.

What does Kaiser Permanente pay for 97163 in Connecticut?

Kaiser Permanente's median is $109.31 per session, from 16 rates and 17 providers.