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97165 · Minnesota · every payer

What every payer pays for 97165 in Minnesota

Across 5 commercial payers in Minnesota, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $88.99 per session. Minnesota Medicaid's fee-for-service rate, $78.21 per session, is 12% below that commercial median.

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

Commercial median
$88.99per session
Minnesota Medicaid
$78.21
Medicare
$101.72
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Payer mix

97165 in Minnesota, by payer type

Medicare's physician fee schedule pays $101.72 in Minnesota.

Minnesota Medicaid$78.21
Medicare$101.72
Commercial (5 payers)$88.99
UnitedHealthcare$88.99
Kaiser Permanente$111.46
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Minnesota

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$88.99 per session—66
Kaiser PermanenteCommercial$111.46 per session—18
See every payer's 97165 rate in Minnesota

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97165 in Minnesota?

The median of 5 payers' medians is $88.99 per session, from 108 published rates in the October 2026 files.

How does Minnesota Medicaid compare with commercial insurance for 97165?

Minnesota Medicaid pays $78.21 per session, 12% below the commercial median.

What does Medicare pay for 97165 in Minnesota?

$101.72 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Minnesota?

UnitedHealthcare's median is $88.99 per session, from 66 rates and 199 providers.

What does Kaiser Permanente pay for 97165 in Minnesota?

Kaiser Permanente's median is $111.46 per session, from 18 rates and 24 providers.