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97163 · Kentucky · every payer

What every payer pays for 97163 in Kentucky

6 commercial payers publish Kentucky rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $94.31 per session. Kentucky Medicaid's fee-for-service rate, $34.88 per session, is 63% below that commercial median.

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

Commercial median
$94.31per session
Kentucky Medicaid
$34.88
Medicare
$92.72
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Payer mix

97163 in Kentucky, by payer type

Medicare's physician fee schedule pays $92.72 in Kentucky.

Kentucky Medicaid$34.88
Medicare$92.72
Commercial (6 payers)$94.31
UnitedHealthcare$73.81
Aetna$77.39
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97163 rate in Kentucky

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$73.81 per session—128
AetnaCommercial$77.39 per session—20
See every payer's 97163 rate in Kentucky

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 Kentucky?

The median of 6 payers' medians is $94.31 per session, from 184 published rates in the October 2026 files.

How does Kentucky Medicaid compare with commercial insurance for 97163?

Kentucky Medicaid pays $34.88 per session, 63% below the commercial median.

What does Medicare pay for 97163 in Kentucky?

$92.72 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97163 in Kentucky?

UnitedHealthcare's median is $73.81 per session, from 128 rates and 481 providers.

What does Aetna pay for 97163 in Kentucky?

Aetna's median is $77.39 per session, from 20 rates and 26 providers.