97165 · South Dakota · every payer
What every payer pays for 97165 in South Dakota
Across 3 commercial payers in South Dakota, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $106.69 per session. South Dakota Medicaid's fee-for-service rate, $96.80 per session, is 9.3% below that commercial median.
- Commercial median
- $106.69per session
- South Dakota Medicaid
- $96.80
- Medicare
- $100.31
On this page
Payer mix
97165 in South Dakota, by payer type
Medicare's physician fee schedule pays $100.31 in South Dakota.
By payer
Each payer's 97165 rate in South Dakota
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in South Dakota?
The median of 3 payers' medians is $106.69 per session, from 38 published rates in the October 2026 files.
How does South Dakota Medicaid compare with commercial insurance for 97165?
South Dakota Medicaid pays $96.80 per session, 9.3% below the commercial median.
What does Medicare pay for 97165 in South Dakota?
$100.31 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in South Dakota?
UnitedHealthcare's median is $82.77 per session, from 24 rates and 66 providers.
What does Wellmark BCBS pay for 97165 in South Dakota?
Wellmark BCBS's median is $123.70 per session, from 9 rates and 398 providers.