97165 · Missouri · every payer
What every payer pays for 97165 in Missouri
9 commercial payers publish Missouri rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $93.03 per session. Missouri Medicaid's fee-for-service rate, $86.46 per session, is 7.1% below that commercial median.
- Commercial median
- $93.03per session
- Missouri Medicaid
- $86.46
- Medicare
- $93.80+
On this page
Payer mix
97165 in Missouri, by payer type
Medicare's physician fee schedule pays $93.80–$98.20 in Missouri across 3 localities.
By payer
Each payer's 97165 rate in Missouri
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Missouri?
The median of 9 payers' medians is $93.03 per session, from 259 published rates in the October 2026 files.
How does Missouri Medicaid compare with commercial insurance for 97165?
Missouri Medicaid pays $86.46 per session, 7.1% below the commercial median.
What does Medicare pay for 97165 in Missouri?
$93.80 to $98.20 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Missouri?
UnitedHealthcare's median is $77.79 per session, from 99 rates and 347 providers.
What does Blue KC pay for 97165 in Missouri?
Blue KC's median is $104.36 per session, from 42 rates and 338 providers.