97165 · Hawaii · every payer
What every payer pays for 97165 in Hawaii
Across 6 commercial payers in Hawaii, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $117.25 per session. Hawaii Medicaid's fee-for-service rate, $107.40 per session, is 8.4% below that commercial median.
- Commercial median
- $117.25per session
- Hawaii Medicaid
- $107.40
- Medicare
- $107.08
On this page
Payer mix
97165 in Hawaii, by payer type
Medicare's physician fee schedule pays $107.08 in Hawaii.
By payer
Each payer's 97165 rate in Hawaii
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Hawaii?
The median of 6 payers' medians is $117.25 per session, from 68 published rates in the October 2026 files.
How does Hawaii Medicaid compare with commercial insurance for 97165?
Hawaii Medicaid pays $107.40 per session, 8.4% below the commercial median.
What does Medicare pay for 97165 in Hawaii?
$107.08 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97165 in Hawaii?
Kaiser Permanente's median is $112.72 per session, from 27 rates and 29 providers.
What does UnitedHealthcare pay for 97165 in Hawaii?
UnitedHealthcare's median is $134.25 per session, from 18 rates and 374 providers.