97163 · Missouri · every payer
What every payer pays for 97163 in Missouri
10 commercial payers publish Missouri rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $98.89 per session. Missouri Medicaid's fee-for-service rate, $85.88 per session, is 13% below that commercial median.
- Commercial median
- $98.89per session
- Missouri Medicaid
- $85.88
- Medicare
- $91.50+
On this page
Payer mix
97163 in Missouri, by payer type
Medicare's physician fee schedule pays $91.50–$95.65 in Missouri across 3 localities.
By payer
Each payer's 97163 rate in Missouri
FAQ
Frequently asked questions
What do commercial payers pay for 97163 in Missouri?
The median of 10 payers' medians is $98.89 per session, from 271 published rates in the October 2026 files.
How does Missouri Medicaid compare with commercial insurance for 97163?
Missouri Medicaid pays $85.88 per session, 13% below the commercial median.
What does Medicare pay for 97163 in Missouri?
$91.50 to $95.65 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97163 in Missouri?
UnitedHealthcare's median is $73.34 per session, from 99 rates and 347 providers.
What does Blue KC pay for 97163 in Missouri?
Blue KC's median is $101.70 per session, from 42 rates and 338 providers.