97165 · Texas · every payer
What every payer pays for 97165 in Texas
13 commercial payers publish Texas rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $97.67 per session. Texas Medicaid's fee-for-service rate, $116.19 per session, is 19% above that commercial median.
- Commercial median
- $97.67per session
- Texas Medicaid
- $116.19
- Medicare
- $96.12+
On this page
Payer mix
97165 in Texas, by payer type
Medicare's physician fee schedule pays $96.12–$103.43 in Texas across 8 localities.
By payer
Each payer's 97165 rate in Texas
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Texas?
The median of 13 payers' medians is $97.67 per session, from 541 published rates in the October 2026 files.
How does Texas Medicaid compare with commercial insurance for 97165?
Texas Medicaid pays $116.19 per session, 19% above the commercial median.
What does Medicare pay for 97165 in Texas?
$96.12 to $103.43 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Texas?
UnitedHealthcare's median is $78.64 per session, from 216 rates and 2136 providers.
What does BCBS Texas pay for 97165 in Texas?
BCBS Texas's median is $84.50 per session, from 140 rates and 8690 providers.