What every payer pays for 97163 in New Jersey
8 commercial payers publish New Jersey rates for 97163 (physical therapy evaluation, level 3 of 3), and the median of their medians is $91.87 per session. New Jersey Medicaid's fee-for-service rate, $42.07 per session, is 54% below that commercial median.
- Commercial median
- $91.87per session
- New Jersey Medicaid
- $42.07
- Medicare
- $104.20+
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97163 in New Jersey, by payer type
Medicare's physician fee schedule pays $104.20–$108.50 in New Jersey across 2 localities.
Each payer's 97163 rate in New Jersey
Frequently asked questions
What do commercial payers pay for 97163 in New Jersey?
The median of 8 payers' medians is $91.87 per session, from 589 published rates in the October 2026 files.
How does New Jersey Medicaid compare with commercial insurance for 97163?
New Jersey Medicaid pays $42.07 per session, 54% below the commercial median.
What does Medicare pay for 97163 in New Jersey?
$104.20 to $108.50 on the RVU26B physician fee schedule (non-facility).
What does Horizon BCBS NJ pay for 97163 in New Jersey?
Horizon BCBS NJ's median is $78.12 per session, from 195 rates and 2325 providers.
What does UnitedHealthcare pay for 97163 in New Jersey?
UnitedHealthcare's median is $70.73 per session, from 169 rates and 635 providers.