97165 · Rhode Island · every payer
What every payer pays for 97165 in Rhode Island
Across 3 commercial payers in Rhode Island, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $86.83 per session. Rhode Island Medicaid's fee-for-service rate, $105.04 per session, is 21% above that commercial median.
- Commercial median
- $86.83per session
- Rhode Island Medicaid
- $105.04
- Medicare
- $103.09
On this page
Payer mix
97165 in Rhode Island, by payer type
Medicare's physician fee schedule pays $103.09 in Rhode Island.
By payer
Each payer's 97165 rate in Rhode Island
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Rhode Island?
The median of 3 payers' medians is $86.83 per session, from 43 published rates in the October 2026 files.
How does Rhode Island Medicaid compare with commercial insurance for 97165?
Rhode Island Medicaid pays $105.04 per session, 21% above the commercial median.
What does Medicare pay for 97165 in Rhode Island?
$103.09 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Rhode Island?
UnitedHealthcare's median is $86.83 per session, from 32 rates and 68 providers.
What does Kaiser Permanente pay for 97165 in Rhode Island?
Kaiser Permanente's median is $95.48 per session, from 6 rates and 7 providers.