97165 · Colorado · every payer
What every payer pays for 97165 in Colorado
10 commercial payers publish Colorado rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $91.53 per session. Colorado Medicaid's fee-for-service rate, $86.13 per session, is 5.9% below that commercial median.
- Commercial median
- $91.53per session
- Colorado Medicaid
- $86.13
- Medicare
- $104.20
On this page
Payer mix
97165 in Colorado, by payer type
Medicare's physician fee schedule pays $104.20 in Colorado.
By payer
Each payer's 97165 rate in Colorado
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Colorado?
The median of 10 payers' medians is $91.53 per session, from 308 published rates in the October 2026 files.
How does Colorado Medicaid compare with commercial insurance for 97165?
Colorado Medicaid pays $86.13 per session, 5.9% below the commercial median.
What does Medicare pay for 97165 in Colorado?
$104.20 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97165 in Colorado?
Kaiser Permanente's median is $125.04 per session, from 110 rates and 305 providers.
What does UnitedHealthcare pay for 97165 in Colorado?
UnitedHealthcare's median is $93.11 per session, from 107 rates and 370 providers.