What every payer pays for 97165 in Georgia
10 commercial payers publish Georgia rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $89.31 per session. Georgia Medicaid's fee-for-service rate, $67.21 per session, is 25% below that commercial median.
- Commercial median
- $89.31per session
- Georgia Medicaid
- $67.21
- Medicare
- $95.33+
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97165 in Georgia, by payer type
Medicare's physician fee schedule pays $95.33–$101.54 in Georgia across 2 localities.
Each payer's 97165 rate in Georgia
Frequently asked questions
What do commercial payers pay for 97165 in Georgia?
The median of 10 payers' medians is $89.31 per session, from 275 published rates in the October 2026 files.
How does Georgia Medicaid compare with commercial insurance for 97165?
Georgia Medicaid pays $67.21 per session, 25% below the commercial median.
What does Medicare pay for 97165 in Georgia?
$95.33 to $101.54 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Georgia?
UnitedHealthcare's median is $94.13 per session, from 138 rates and 291 providers.
What does Kaiser Permanente pay for 97165 in Georgia?
Kaiser Permanente's median is $104.20 per session, from 30 rates and 39 providers.