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97163 · Idaho · every payer

What every payer pays for 97163 in Idaho

Across 5 commercial payers in Idaho, the middle payer's median for 97163 (physical therapy evaluation, level 3 of 3) is $91.12 per session. Idaho Medicaid's fee-for-service rate, $81.22 per session, is 11% below that commercial median.

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

Commercial median
$91.12per session
Idaho Medicaid
$81.22
Medicare
$94.00
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Payer mix

97163 in Idaho, by payer type

Medicare's physician fee schedule pays $94.00 in Idaho.

Idaho Medicaid$81.22
Medicare$94.00
Commercial (5 payers)$91.12
UnitedHealthcare$78.93
Kaiser Permanente$109.32
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97163 rate in Idaho

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$78.93 per session—30
Kaiser PermanenteCommercial$109.32 per session—23
See every payer's 97163 rate in Idaho

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 Idaho?

The median of 5 payers' medians is $91.12 per session, from 86 published rates in the October 2026 files.

How does Idaho Medicaid compare with commercial insurance for 97163?

Idaho Medicaid pays $81.22 per session, 11% below the commercial median.

What does Medicare pay for 97163 in Idaho?

$94.00 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97163 in Idaho?

UnitedHealthcare's median is $78.93 per session, from 30 rates and 136 providers.

What does Kaiser Permanente pay for 97163 in Idaho?

Kaiser Permanente's median is $109.32 per session, from 23 rates and 23 providers.