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97165 · Tennessee · every payer

What every payer pays for 97165 in Tennessee

9 commercial payers publish Tennessee rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $84.37 per session. Tennessee Medicaid publishes no fee-for-service rate for 97165.

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

Commercial median
$84.37per session
Tennessee Medicaid
—
Medicare
$95.94
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Payer mix

97165 in Tennessee, by payer type

Medicare's physician fee schedule pays $95.94 in Tennessee.

Medicare$95.94
Commercial (9 payers)$84.37
UnitedHealthcare$79.14
Kaiser Permanente$100.33
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97165 rate in Tennessee

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$79.14 per session—128
Kaiser PermanenteCommercial$100.33 per session—32
See every payer's 97165 rate in Tennessee

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 Tennessee?

The median of 9 payers' medians is $84.37 per session, from 245 published rates in the October 2026 files.

What does Medicare pay for 97165 in Tennessee?

$95.94 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97165 in Tennessee?

UnitedHealthcare's median is $79.14 per session, from 128 rates and 515 providers.

What does Kaiser Permanente pay for 97165 in Tennessee?

Kaiser Permanente's median is $100.33 per session, from 32 rates and 37 providers.