97165 · Delaware · every payer
What every payer pays for 97165 in Delaware
Across 3 commercial payers in Delaware, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $81.19 per session. Delaware Medicaid's fee-for-service rate, $37.42 per session, is 54% below that commercial median.
- Commercial median
- $81.19per session
- Delaware Medicaid
- $37.42
- Medicare
- $100.17
On this page
Payer mix
97165 in Delaware, by payer type
Medicare's physician fee schedule pays $100.17 in Delaware.
By payer
Each payer's 97165 rate in Delaware
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Delaware?
The median of 3 payers' medians is $81.19 per session, from 82 published rates in the October 2026 files.
How does Delaware Medicaid compare with commercial insurance for 97165?
Delaware Medicaid pays $37.42 per session, 54% below the commercial median.
What does Medicare pay for 97165 in Delaware?
$100.17 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Delaware?
UnitedHealthcare's median is $75.54 per session, from 63 rates and 109 providers.
What does Horizon BCBS NJ pay for 97165 in Delaware?
Horizon BCBS NJ's median is $81.19 per session, from 9 rates and 13 providers.