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97165 · Oregon · every payer

What every payer pays for 97165 in Oregon

Across 6 commercial payers in Oregon, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $98.73 per session. Oregon Medicaid's fee-for-service rate, $81.47 per session, is 18% below that commercial median.

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

Commercial median
$98.73per session
Oregon Medicaid
$81.47
Medicare
$100.24+
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Payer mix

97165 in Oregon, by payer type

Medicare's physician fee schedule pays $100.24–$106.69 in Oregon across 2 localities.

Oregon Medicaid$81.47
Medicare$106.69$100.24 low
Commercial (6 payers)$98.73
UnitedHealthcare$93.11
Regence$126.01
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Oregon

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$93.11 per session—59
RegenceCommercial$126.01 per session—50
See every payer's 97165 rate in Oregon

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 Oregon?

The median of 6 payers' medians is $98.73 per session, from 176 published rates in the October 2026 files.

How does Oregon Medicaid compare with commercial insurance for 97165?

Oregon Medicaid pays $81.47 per session, 18% below the commercial median.

What does Medicare pay for 97165 in Oregon?

$100.24 to $106.69 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Oregon?

UnitedHealthcare's median is $93.11 per session, from 59 rates and 272 providers.

What does Regence pay for 97165 in Oregon?

Regence's median is $126.01 per session, from 50 rates and 1416 providers.