97165 · Utah · every payer
What every payer pays for 97165 in Utah
Across 5 commercial payers in Utah, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $89.31 per session. Utah Medicaid's fee-for-service rate, $92.45 per session, is 3.5% above that commercial median.
- Commercial median
- $89.31per session
- Utah Medicaid
- $92.45
- Medicare
- $97.58
On this page
Payer mix
97165 in Utah, by payer type
Medicare's physician fee schedule pays $97.58 in Utah.
By payer
Each payer's 97165 rate in Utah
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Utah?
The median of 5 payers' medians is $89.31 per session, from 105 published rates in the October 2026 files.
How does Utah Medicaid compare with commercial insurance for 97165?
Utah Medicaid pays $92.45 per session, 3.5% above the commercial median.
What does Medicare pay for 97165 in Utah?
$97.58 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Utah?
UnitedHealthcare's median is $89.31 per session, from 55 rates and 163 providers.
What does Kaiser Permanente pay for 97165 in Utah?
Kaiser Permanente's median is $105.13 per session, from 29 rates and 32 providers.