97163 · Hawaii · every payer
What every payer pays for 97163 in Hawaii
Across 7 commercial payers in Hawaii, the middle payer's median for 97163 (physical therapy evaluation, level 3 of 3) is $109.31 per session. Hawaii Medicaid's fee-for-service rate, $104.43 per session, is 4.5% below that commercial median.
- Commercial median
- $109.31per session
- Hawaii Medicaid
- $104.43
- Medicare
- $104.04
On this page
Payer mix
97163 in Hawaii, by payer type
Medicare's physician fee schedule pays $104.04 in Hawaii.
By payer
Each payer's 97163 rate in Hawaii
FAQ
Frequently asked questions
What do commercial payers pay for 97163 in Hawaii?
The median of 7 payers' medians is $109.31 per session, from 75 published rates in the October 2026 files.
How does Hawaii Medicaid compare with commercial insurance for 97163?
Hawaii Medicaid pays $104.43 per session, 4.5% below the commercial median.
What does Medicare pay for 97163 in Hawaii?
$104.04 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97163 in Hawaii?
Kaiser Permanente's median is $109.31 per session, from 26 rates and 31 providers.
What does UnitedHealthcare pay for 97163 in Hawaii?
UnitedHealthcare's median is $130.54 per session, from 18 rates and 374 providers.