97163 · Maine · every payer
What every payer pays for 97163 in Maine
5 commercial payers publish Maine rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $100.71 per session. Maine Medicaid's fee-for-service rate, $68.09 per session, is 32% below that commercial median.
- Commercial median
- $100.71per session
- Maine Medicaid
- $68.09
- Medicare
- $94.05+
On this page
Payer mix
97163 in Maine, by payer type
Medicare's physician fee schedule pays $94.05–$97.33 in Maine across 2 localities.
By payer
Each payer's 97163 rate in Maine
FAQ
Frequently asked questions
What do commercial payers pay for 97163 in Maine?
The median of 5 payers' medians is $100.71 per session, from 61 published rates in the October 2026 files.
How does Maine Medicaid compare with commercial insurance for 97163?
Maine Medicaid pays $68.09 per session, 32% below the commercial median.
What does Medicare pay for 97163 in Maine?
$94.05 to $97.33 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97163 in Maine?
UnitedHealthcare's median is $100.71 per session, from 35 rates and 78 providers.
What does BCBS Minnesota pay for 97163 in Maine?
BCBS Minnesota's median is $136.80 per session, from 8 rates and 4 providers.