What every payer pays for 97163 in Michigan
6 commercial payers publish Michigan rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $80.97 per session. Michigan Medicaid's fee-for-service rate, $62.41 per session, is 23% below that commercial median.
- Commercial median
- $80.97per session
- Michigan Medicaid
- $62.41
- Medicare
- $93.90+
On this page
97163 in Michigan, by payer type
Medicare's physician fee schedule pays $93.90–$96.48 in Michigan across 2 localities.
Each payer's 97163 rate in Michigan
Frequently asked questions
What do commercial payers pay for 97163 in Michigan?
The median of 6 payers' medians is $80.97 per session, from 184 published rates in the October 2026 files.
How does Michigan Medicaid compare with commercial insurance for 97163?
Michigan Medicaid pays $62.41 per session, 23% below the commercial median.
What does Medicare pay for 97163 in Michigan?
$93.90 to $96.48 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97163 in Michigan?
UnitedHealthcare's median is $79.62 per session, from 111 rates and 497 providers.
What does Kaiser Permanente pay for 97163 in Michigan?
Kaiser Permanente's median is $101.36 per session, from 24 rates and 35 providers.