97165 · Connecticut · every payer
What every payer pays for 97165 in Connecticut
Across 5 commercial payers in Connecticut, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $83.88 per session. Connecticut Medicaid's fee-for-service rate, $63.88 per session, is 24% below that commercial median.
- Commercial median
- $83.88per session
- Connecticut Medicaid
- $63.88
- Medicare
- $105.39
On this page
Payer mix
97165 in Connecticut, by payer type
Medicare's physician fee schedule pays $105.39 in Connecticut.
By payer
Each payer's 97165 rate in Connecticut
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Connecticut?
The median of 5 payers' medians is $83.88 per session, from 125 published rates in the October 2026 files.
How does Connecticut Medicaid compare with commercial insurance for 97165?
Connecticut Medicaid pays $63.88 per session, 24% below the commercial median.
What does Medicare pay for 97165 in Connecticut?
$105.39 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Connecticut?
UnitedHealthcare's median is $93.11 per session, from 81 rates and 223 providers.
What does Kaiser Permanente pay for 97165 in Connecticut?
Kaiser Permanente's median is $112.70 per session, from 16 rates and 17 providers.