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97165 · Idaho · every payer

What every payer pays for 97165 in Idaho

Across 4 commercial payers in Idaho, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $100.60 per session. Idaho Medicaid's fee-for-service rate, $83.34 per session, is 17% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$100.60per session
Idaho Medicaid
$83.34
Medicare
$96.46
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Payer mix

97165 in Idaho, by payer type

Medicare's physician fee schedule pays $96.46 in Idaho.

Idaho Medicaid$83.34
Medicare$96.46
Commercial (4 payers)$100.60
UnitedHealthcare$79.13
Kaiser Permanente$112.70
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Idaho

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$79.13 per session—30
Kaiser PermanenteCommercial$112.70 per session—21
See every payer's 97165 rate in Idaho

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97165 in Idaho?

The median of 4 payers' medians is $100.60 per session, from 75 published rates in the October 2026 files.

How does Idaho Medicaid compare with commercial insurance for 97165?

Idaho Medicaid pays $83.34 per session, 17% below the commercial median.

What does Medicare pay for 97165 in Idaho?

$96.46 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Idaho?

UnitedHealthcare's median is $79.13 per session, from 30 rates and 136 providers.

What does Kaiser Permanente pay for 97165 in Idaho?

Kaiser Permanente's median is $112.70 per session, from 21 rates and 22 providers.