What every payer pays for 97165 in Michigan
5 commercial payers publish Michigan rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $79.14 per session. Michigan Medicaid's fee-for-service rate, $64.11 per session, is 19% below that commercial median.
- Commercial median
- $79.14per session
- Michigan Medicaid
- $64.11
- Medicare
- $96.34+
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97165 in Michigan, by payer type
Medicare's physician fee schedule pays $96.34–$99.06 in Michigan across 2 localities.
Each payer's 97165 rate in Michigan
Frequently asked questions
What do commercial payers pay for 97165 in Michigan?
The median of 5 payers' medians is $79.14 per session, from 160 published rates in the October 2026 files.
How does Michigan Medicaid compare with commercial insurance for 97165?
Michigan Medicaid pays $64.11 per session, 19% below the commercial median.
What does Medicare pay for 97165 in Michigan?
$96.34 to $99.06 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Michigan?
UnitedHealthcare's median is $79.14 per session, from 112 rates and 497 providers.
What does Kaiser Permanente pay for 97165 in Michigan?
Kaiser Permanente's median is $104.20 per session, from 23 rates and 34 providers.