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97165 · North Dakota · every payer

What every payer pays for 97165 in North Dakota

3 commercial payers publish North Dakota rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $94.12 per session. North Dakota Medicaid's fee-for-service rate, $112.65 per session, is 20% above that commercial median.

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

Commercial median
$94.12per session
North Dakota Medicaid
$112.65
Medicare
$100.34
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Payer mix

97165 in North Dakota, by payer type

Medicare's physician fee schedule pays $100.34 in North Dakota.

North Dakota Medicaid$112.65
Medicare$100.34
Commercial (3 payers)$94.12
UnitedHealthcare$94.12
BCBS Oklahoma$79.81
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in North Dakota

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$94.12 per session—20
BCBS OklahomaCommercial$79.81 per session—7
See every payer's 97165 rate in North Dakota

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 North Dakota?

The median of 3 payers' medians is $94.12 per session, from 33 published rates in the October 2026 files.

How does North Dakota Medicaid compare with commercial insurance for 97165?

North Dakota Medicaid pays $112.65 per session, 20% above the commercial median.

What does Medicare pay for 97165 in North Dakota?

$100.34 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in North Dakota?

UnitedHealthcare's median is $94.12 per session, from 20 rates and 64 providers.

What does BCBS Oklahoma pay for 97165 in North Dakota?

BCBS Oklahoma's median is $79.81 per session, from 7 rates and 2 providers.