97165 · Iowa · every payer
What every payer pays for 97165 in Iowa
6 commercial payers publish Iowa rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $105.53 per session. Iowa Medicaid's fee-for-service rate, $71.17 per session, is 33% below that commercial median.
- Commercial median
- $105.53per session
- Iowa Medicaid
- $71.17
- Medicare
- $96.19
On this page
Payer mix
97165 in Iowa, by payer type
Medicare's physician fee schedule pays $96.19 in Iowa.
By payer
Each payer's 97165 rate in Iowa
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Iowa?
The median of 6 payers' medians is $105.53 per session, from 127 published rates in the October 2026 files.
How does Iowa Medicaid compare with commercial insurance for 97165?
Iowa Medicaid pays $71.17 per session, 33% below the commercial median.
What does Medicare pay for 97165 in Iowa?
$96.19 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Iowa?
UnitedHealthcare's median is $87.61 per session, from 67 rates and 199 providers.
What does Blue KC pay for 97165 in Iowa?
Blue KC's median is $106.69 per session, from 13 rates and 14 providers.