97165 · New York · every payer
What every payer pays for 97165 in New York
Across 11 commercial payers in New York, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $96.22 per session. New York Medicaid publishes no fee-for-service rate for 97165.
- Commercial median
- $96.22per session
- New York Medicaid
- —
- Medicare
- $98.00+
On this page
Payer mix
97165 in New York, by payer type
Medicare's physician fee schedule pays $98.00–$113.33 in New York across 5 localities.
By payer
Each payer's 97165 rate in New York
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in New York?
The median of 11 payers' medians is $96.22 per session, from 505 published rates in the October 2026 files.
What does Medicare pay for 97165 in New York?
$98.00 to $113.33 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in New York?
UnitedHealthcare's median is $90.86 per session, from 303 rates and 1086 providers.
What does Kaiser Permanente pay for 97165 in New York?
Kaiser Permanente's median is $111.48 per session, from 50 rates and 87 providers.