What every payer pays for 97165 in Florida
13 commercial payers publish Florida rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $84.50 per session. Florida Medicaid's fee-for-service rate, $58.11 per session, is 31% below that commercial median.
- Commercial median
- $84.50per session
- Florida Medicaid
- $58.11
- Medicare
- $98.56+
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97165 in Florida, by payer type
Medicare's physician fee schedule pays $98.56–$103.05 in Florida across 3 localities.
Each payer's 97165 rate in Florida
Frequently asked questions
What do commercial payers pay for 97165 in Florida?
The median of 13 payers' medians is $84.50 per session, from 589 published rates in the October 2026 files.
How does Florida Medicaid compare with commercial insurance for 97165?
Florida Medicaid pays $58.11 per session, 31% below the commercial median.
What does Medicare pay for 97165 in Florida?
$98.56 to $103.05 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Florida?
UnitedHealthcare's median is $65.21 per session, from 320 rates and 1200 providers.
What does Florida Blue pay for 97165 in Florida?
Florida Blue's median is $68.65 per session, from 53 rates and 557 providers.