Skip to content
97165 · Louisiana · every payer

What every payer pays for 97165 in Louisiana

Across 7 commercial payers in Louisiana, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $82.16 per session. Louisiana Medicaid's fee-for-service rate, $81.08 per session, is 1.3% below that commercial median.

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

Commercial median
$82.16per session
Louisiana Medicaid
$81.08
Medicare
$94.91+
On this page
Payer mix

97165 in Louisiana, by payer type

Medicare's physician fee schedule pays $94.91–$97.70 in Louisiana across 2 localities.

Louisiana Medicaid$81.08
Medicare$97.70$94.91 low
Commercial (7 payers)$82.16
UnitedHealthcare$74.54
BCBS Louisiana$79.59
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Louisiana

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$74.54 per session—105
BCBS LouisianaCommercial$79.59 per session—47
See every payer's 97165 rate in Louisiana

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 Louisiana?

The median of 7 payers' medians is $82.16 per session, from 200 published rates in the October 2026 files.

How does Louisiana Medicaid compare with commercial insurance for 97165?

Louisiana Medicaid pays $81.08 per session, 1.3% below the commercial median.

What does Medicare pay for 97165 in Louisiana?

$94.91 to $97.70 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Louisiana?

UnitedHealthcare's median is $74.54 per session, from 105 rates and 401 providers.

What does BCBS Louisiana pay for 97165 in Louisiana?

BCBS Louisiana's median is $79.59 per session, from 47 rates and 1197 providers.