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97163 · Virginia · every payer

What every payer pays for 97163 in Virginia

Across 9 commercial payers in Virginia, the middle payer's median for 97163 (physical therapy evaluation, level 3 of 3) is $79.99 per session. Virginia Medicaid's fee-for-service rate, $105.84 per session, is 32% above that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$79.99per session
Virginia Medicaid
$105.84
Medicare
$96.98
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Payer mix

97163 in Virginia, by payer type

Medicare's physician fee schedule pays $96.98 in Virginia.

Virginia Medicaid$105.84
Medicare$96.98
Commercial (9 payers)$79.99
UnitedHealthcare$76.39
Kaiser Permanente$108.29
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97163 rate in Virginia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$76.39 per session—194
Kaiser PermanenteCommercial$108.29 per session—38
See every payer's 97163 rate in Virginia

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97163 in Virginia?

The median of 9 payers' medians is $79.99 per session, from 326 published rates in the October 2026 files.

How does Virginia Medicaid compare with commercial insurance for 97163?

Virginia Medicaid pays $105.84 per session, 32% above the commercial median.

What does Medicare pay for 97163 in Virginia?

$96.98 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97163 in Virginia?

UnitedHealthcare's median is $76.39 per session, from 194 rates and 679 providers.

What does Kaiser Permanente pay for 97163 in Virginia?

Kaiser Permanente's median is $108.29 per session, from 38 rates and 55 providers.