97163 · Illinois · every payer
What every payer pays for 97163 in Illinois
Across 12 commercial payers in Illinois, the middle payer's median for 97163 (physical therapy evaluation, level 3 of 3) is $92.90 per session. Illinois Medicaid's fee-for-service rate, $10.27 per session, is 89% below that commercial median.
- Commercial median
- $92.90per session
- Illinois Medicaid
- $10.27
- Medicare
- $94.04+
On this page
Payer mix
97163 in Illinois, by payer type
Medicare's physician fee schedule pays $94.04–$99.73 in Illinois across 4 localities.
By payer
Each payer's 97163 rate in Illinois
FAQ
Frequently asked questions
What do commercial payers pay for 97163 in Illinois?
The median of 12 payers' medians is $92.90 per session, from 416 published rates in the October 2026 files.
How does Illinois Medicaid compare with commercial insurance for 97163?
Illinois Medicaid pays $10.27 per session, 89% below the commercial median.
What does Medicare pay for 97163 in Illinois?
$94.04 to $99.73 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97163 in Illinois?
UnitedHealthcare's median is $77.66 per session, from 186 rates and 695 providers.
What does BCBS Illinois pay for 97163 in Illinois?
BCBS Illinois's median is $98.89 per session, from 51 rates and 8294 providers.