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97165 · Arizona · every payer

What every payer pays for 97165 in Arizona

Across 11 commercial payers in Arizona, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $83.30 per session. Arizona Medicaid's fee-for-service rate, $100.10 per session, is 20% above that commercial median.

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

Commercial median
$83.30per session
Arizona Medicaid
$100.10
Medicare
$98.98
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Payer mix

97165 in Arizona, by payer type

Medicare's physician fee schedule pays $98.98 in Arizona.

Arizona Medicaid$100.10
Medicare$98.98
Commercial (11 payers)$83.30
UnitedHealthcare$79.71
Kaiser Permanente$112.70
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Arizona

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$79.71 per session—122
Kaiser PermanenteCommercial$112.70 per session—64
See every payer's 97165 rate in Arizona

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 Arizona?

The median of 11 payers' medians is $83.30 per session, from 276 published rates in the October 2026 files.

How does Arizona Medicaid compare with commercial insurance for 97165?

Arizona Medicaid pays $100.10 per session, 20% above the commercial median.

What does Medicare pay for 97165 in Arizona?

$98.98 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Arizona?

UnitedHealthcare's median is $79.71 per session, from 122 rates and 843 providers.

What does Kaiser Permanente pay for 97165 in Arizona?

Kaiser Permanente's median is $112.70 per session, from 64 rates and 92 providers.