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97165 · Alabama · every payer

What every payer pays for 97165 in Alabama

Across 7 commercial payers in Alabama, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $84.50 per session. Alabama Medicaid's fee-for-service rate, $52.76 per session, is 38% below that commercial median.

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

Commercial median
$84.50per session
Alabama Medicaid
$52.76
Medicare
$94.30
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Payer mix

97165 in Alabama, by payer type

Medicare's physician fee schedule pays $94.30 in Alabama.

Alabama Medicaid$52.76
Medicare$94.30
Commercial (7 payers)$84.50
UnitedHealthcare$83.70
BCBS Louisiana$71.04
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Alabama

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$83.70 per session—63
BCBS LouisianaCommercial$71.04 per session—13
See every payer's 97165 rate in Alabama

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 97165 in Alabama?

The median of 7 payers' medians is $84.50 per session, from 119 published rates in the October 2026 files.

How does Alabama Medicaid compare with commercial insurance for 97165?

Alabama Medicaid pays $52.76 per session, 38% below the commercial median.

What does Medicare pay for 97165 in Alabama?

$94.30 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Alabama?

UnitedHealthcare's median is $83.70 per session, from 63 rates and 241 providers.

What does BCBS Louisiana pay for 97165 in Alabama?

BCBS Louisiana's median is $71.04 per session, from 13 rates and 9 providers.