Skip to content
97165 · Indiana · every payer

What every payer pays for 97165 in Indiana

Across 6 commercial payers in Indiana, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $84.44 per session. Indiana Medicaid pays $96.07 per unit, in a different unit.

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

Commercial median
$84.44per session
Indiana Medicaid
$96.07
Medicare
$96.81
On this page
Payer mix

97165 in Indiana, by payer type

Medicare's physician fee schedule pays $96.81 in Indiana.

Medicare$96.81
Commercial (6 payers)$84.44
UnitedHealthcare$78.67
Kaiser Permanente$100.31
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Indiana

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$78.67 per session—117
Kaiser PermanenteCommercial$100.31 per session—21
See every payer's 97165 rate in Indiana

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

  • Every payer
  • Ranges and n
  • CSV export
FAQ

Frequently asked questions

What do commercial payers pay for 97165 in Indiana?

The median of 6 payers' medians is $84.44 per session, from 169 published rates in the October 2026 files.

What does Medicare pay for 97165 in Indiana?

$96.81 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Indiana?

UnitedHealthcare's median is $78.67 per session, from 117 rates and 283 providers.

What does Kaiser Permanente pay for 97165 in Indiana?

Kaiser Permanente's median is $100.31 per session, from 21 rates and 26 providers.