97165 · South Carolina · every payer
What every payer pays for 97165 in South Carolina
16 commercial payers publish South Carolina rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $84.87 per session. South Carolina Medicaid's fee-for-service rate, $83.99 per session, is 1.0% below that commercial median.
- Commercial median
- $84.87per session
- South Carolina Medicaid
- $83.99
- Medicare
- $96.78
On this page
Payer mix
97165 in South Carolina, by payer type
Medicare's physician fee schedule pays $96.78 in South Carolina.
By payer
Each payer's 97165 rate in South Carolina
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in South Carolina?
The median of 16 payers' medians is $84.87 per session, from 829 published rates in the October 2026 files.
How does South Carolina Medicaid compare with commercial insurance for 97165?
South Carolina Medicaid pays $83.99 per session, 1.0% below the commercial median.
What does Medicare pay for 97165 in South Carolina?
$96.78 on the RVU26B physician fee schedule (non-facility).
What does Aetna pay for 97165 in South Carolina?
Aetna's median is $70.74 per session, from 198 rates and 1304 providers.
What does Cigna pay for 97165 in South Carolina?
Cigna's median is $66.68 per session, from 170 rates and 552 providers.