97165 · Kentucky · every payer
What every payer pays for 97165 in Kentucky
4 commercial payers publish Kentucky rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $91.40 per session. Kentucky Medicaid's fee-for-service rate, $35.66 per session, is 61% below that commercial median.
- Commercial median
- $91.40per session
- Kentucky Medicaid
- $35.66
- Medicare
- $95.10
On this page
Payer mix
97165 in Kentucky, by payer type
Medicare's physician fee schedule pays $95.10 in Kentucky.
By payer
Each payer's 97165 rate in Kentucky
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Kentucky?
The median of 4 payers' medians is $91.40 per session, from 166 published rates in the October 2026 files.
How does Kentucky Medicaid compare with commercial insurance for 97165?
Kentucky Medicaid pays $35.66 per session, 61% below the commercial median.
What does Medicare pay for 97165 in Kentucky?
$95.10 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Kentucky?
UnitedHealthcare's median is $73.67 per session, from 129 rates and 481 providers.
What does Aetna pay for 97165 in Kentucky?
Aetna's median is $68.90 per session, from 20 rates and 62 providers.