97163 · Ohio · every payer
What every payer pays for 97163 in Ohio
Across 10 commercial payers in Ohio, the middle payer's median for 97163 (physical therapy evaluation, level 3 of 3) is $92.90 per session. Ohio Medicaid's fee-for-service rate, $72.62 per session, is 22% below that commercial median.
- Commercial median
- $92.90per session
- Ohio Medicaid
- $72.62
- Medicare
- $93.86
On this page
Payer mix
97163 in Ohio, by payer type
Medicare's physician fee schedule pays $93.86 in Ohio.
By payer
Each payer's 97163 rate in Ohio
FAQ
Frequently asked questions
What do commercial payers pay for 97163 in Ohio?
The median of 10 payers' medians is $92.90 per session, from 273 published rates in the October 2026 files.
How does Ohio Medicaid compare with commercial insurance for 97163?
Ohio Medicaid pays $72.62 per session, 22% below the commercial median.
What does Medicare pay for 97163 in Ohio?
$93.86 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97163 in Ohio?
UnitedHealthcare's median is $75.75 per session, from 172 rates and 586 providers.
What does Kaiser Permanente pay for 97163 in Ohio?
Kaiser Permanente's median is $109.31 per session, from 22 rates and 27 providers.