What every payer pays for 97165 in District of Columbia
Across 4 commercial payers in District of Columbia, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $95.42 per session. District of Columbia Medicaid's fee-for-service rate, $16.25 per session, is 83% below that commercial median.
- Commercial median
- $95.42per session
- District of Columbia Medicaid
- $16.25
- Medicare
- $112.03
On this page
97165 in District of Columbia, by payer type
Medicare's physician fee schedule pays $112.03 in District of Columbia.
Each payer's 97165 rate in District of Columbia
Frequently asked questions
What do commercial payers pay for 97165 in District of Columbia?
The median of 4 payers' medians is $95.42 per session, from 58 published rates in the October 2026 files.
How does District of Columbia Medicaid compare with commercial insurance for 97165?
District of Columbia Medicaid pays $16.25 per session, 83% below the commercial median.
What does Medicare pay for 97165 in District of Columbia?
$112.03 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in District of Columbia?
UnitedHealthcare's median is $106.34 per session, from 37 rates and 72 providers.
What does Kaiser Permanente pay for 97165 in District of Columbia?
Kaiser Permanente's median is $109.27 per session, from 9 rates and 11 providers.