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97165 · Nebraska · every payer

What every payer pays for 97165 in Nebraska

Across 6 commercial payers in Nebraska, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $104.36 per session. Nebraska Medicaid's fee-for-service rate, $87.74 per session, is 16% below that commercial median.

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

Commercial median
$104.36per session
Nebraska Medicaid
$87.74
Medicare
$96.57
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Payer mix

97165 in Nebraska, by payer type

Medicare's physician fee schedule pays $96.57 in Nebraska.

Nebraska Medicaid$87.74
Medicare$96.57
Commercial (6 payers)$104.36
UnitedHealthcare$87.44
BCBS Nebraska$233.70
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Nebraska

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$87.44 per session—43
BCBS NebraskaCommercial$233.70 per session—23
See every payer's 97165 rate in Nebraska

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 Nebraska?

The median of 6 payers' medians is $104.36 per session, from 115 published rates in the October 2026 files.

How does Nebraska Medicaid compare with commercial insurance for 97165?

Nebraska Medicaid pays $87.74 per session, 16% below the commercial median.

What does Medicare pay for 97165 in Nebraska?

$96.57 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Nebraska?

UnitedHealthcare's median is $87.44 per session, from 43 rates and 168 providers.

What does BCBS Nebraska pay for 97165 in Nebraska?

BCBS Nebraska's median is $233.70 per session, from 23 rates and 28 providers.