97165 · Ohio · every payer
What every payer pays for 97165 in Ohio
Across 8 commercial payers in Ohio, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $84.50 per session. Ohio Medicaid's fee-for-service rate, $70.50 per session, is 17% below that commercial median.
- Commercial median
- $84.50per session
- Ohio Medicaid
- $70.50
- Medicare
- $96.30
On this page
Payer mix
97165 in Ohio, by payer type
Medicare's physician fee schedule pays $96.30 in Ohio.
By payer
Each payer's 97165 rate in Ohio
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Ohio?
The median of 8 payers' medians is $84.50 per session, from 252 published rates in the October 2026 files.
How does Ohio Medicaid compare with commercial insurance for 97165?
Ohio Medicaid pays $70.50 per session, 17% below the commercial median.
What does Medicare pay for 97165 in Ohio?
$96.30 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Ohio?
UnitedHealthcare's median is $73.91 per session, from 174 rates and 586 providers.
What does Kaiser Permanente pay for 97165 in Ohio?
Kaiser Permanente's median is $111.48 per session, from 21 rates and 27 providers.