97165 · California · every payer
What every payer pays for 97165 in California
13 commercial payers publish California rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $93.77 per session. California Medicaid publishes no fee-for-service rate for 97165.
- Commercial median
- $93.77per session
- California Medicaid
- —
- Medicare
- $105.94+
On this page
Payer mix
97165 in California, by payer type
Medicare's physician fee schedule pays $105.94–$127.59 in California across 29 localities.
By payer
Each payer's 97165 rate in California
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in California?
The median of 13 payers' medians is $93.77 per session, from 784 published rates in the October 2026 files.
What does Medicare pay for 97165 in California?
$105.94 to $127.59 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97165 in California?
Kaiser Permanente's median is $111.46 per session, from 313 rates and 1310 providers.
What does UnitedHealthcare pay for 97165 in California?
UnitedHealthcare's median is $93.11 per session, from 269 rates and 2647 providers.