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97163 · Iowa · every payer

What every payer pays for 97163 in Iowa

8 commercial payers publish Iowa rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $102.81 per session. Iowa Medicaid's fee-for-service rate, $73.33 per session, is 29% below that commercial median.

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

Commercial median
$102.81per session
Iowa Medicaid
$73.33
Medicare
$93.75
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Payer mix

97163 in Iowa, by payer type

Medicare's physician fee schedule pays $93.75 in Iowa.

Iowa Medicaid$73.33
Medicare$93.75
Commercial (8 payers)$102.81
UnitedHealthcare$82.70
BCBS Minnesota$149.08
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97163 rate in Iowa

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$82.70 per session—67
BCBS MinnesotaCommercial$149.08 per session—36
See every payer's 97163 rate in Iowa

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 Iowa?

The median of 8 payers' medians is $102.81 per session, from 170 published rates in the October 2026 files.

How does Iowa Medicaid compare with commercial insurance for 97163?

Iowa Medicaid pays $73.33 per session, 29% below the commercial median.

What does Medicare pay for 97163 in Iowa?

$93.75 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97163 in Iowa?

UnitedHealthcare's median is $82.70 per session, from 67 rates and 199 providers.

What does BCBS Minnesota pay for 97163 in Iowa?

BCBS Minnesota's median is $149.08 per session, from 36 rates and 20 providers.