97165 · New Mexico · every payer
What every payer pays for 97165 in New Mexico
Across 9 commercial payers in New Mexico, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $82.84 per session. New Mexico Medicaid's fee-for-service rate, $143.05 per session, is 73% above that commercial median.
- Commercial median
- $82.84per session
- New Mexico Medicaid
- $143.05
- Medicare
- $96.56
On this page
Payer mix
97165 in New Mexico, by payer type
Medicare's physician fee schedule pays $96.56 in New Mexico.
By payer
Each payer's 97165 rate in New Mexico
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in New Mexico?
The median of 9 payers' medians is $82.84 per session, from 146 published rates in the October 2026 files.
How does New Mexico Medicaid compare with commercial insurance for 97165?
New Mexico Medicaid pays $143.05 per session, 73% above the commercial median.
What does Medicare pay for 97165 in New Mexico?
$96.56 on the RVU26B physician fee schedule (non-facility).
What does BCBS New Mexico pay for 97165 in New Mexico?
BCBS New Mexico's median is $93.77 per session, from 39 rates and 328 providers.
What does UnitedHealthcare pay for 97165 in New Mexico?
UnitedHealthcare's median is $79.71 per session, from 35 rates and 128 providers.