97165 · Maryland · every payer
What every payer pays for 97165 in Maryland
Across 6 commercial payers in Maryland, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $83.27 per session. Maryland Medicaid's fee-for-service rate, $68.59 per session, is 18% below that commercial median.
- Commercial median
- $83.27per session
- Maryland Medicaid
- $68.59
- Medicare
- $101.61+
On this page
Payer mix
97165 in Maryland, by payer type
Medicare's physician fee schedule pays $101.61–$105.00 in Maryland across 2 localities.
By payer
Each payer's 97165 rate in Maryland
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Maryland?
The median of 6 payers' medians is $83.27 per session, from 243 published rates in the October 2026 files.
How does Maryland Medicaid compare with commercial insurance for 97165?
Maryland Medicaid pays $68.59 per session, 18% below the commercial median.
What does Medicare pay for 97165 in Maryland?
$101.61 to $105.00 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Maryland?
UnitedHealthcare's median is $79.76 per session, from 168 rates and 684 providers.
What does Kaiser Permanente pay for 97165 in Maryland?
Kaiser Permanente's median is $103.21 per session, from 26 rates and 37 providers.