What every payer pays for 97163 in Massachusetts
9 commercial payers publish Massachusetts rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $89.92 per session. Massachusetts Medicaid's fee-for-service rate, $76.54 per session, is 15% below that commercial median.
- Commercial median
- $89.92per session
- Massachusetts Medicaid
- $76.54
- Medicare
- $101.06+
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97163 in Massachusetts, by payer type
Medicare's physician fee schedule pays $101.06–$108.88 in Massachusetts across 2 localities.
Each payer's 97163 rate in Massachusetts
Frequently asked questions
What do commercial payers pay for 97163 in Massachusetts?
The median of 9 payers' medians is $89.92 per session, from 230 published rates in the October 2026 files.
How does Massachusetts Medicaid compare with commercial insurance for 97163?
Massachusetts Medicaid pays $76.54 per session, 15% below the commercial median.
What does Medicare pay for 97163 in Massachusetts?
$101.06 to $108.88 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97163 in Massachusetts?
UnitedHealthcare's median is $97.52 per session, from 110 rates and 391 providers.
What does Kaiser Permanente pay for 97163 in Massachusetts?
Kaiser Permanente's median is $108.33 per session, from 37 rates and 49 providers.