97165 · Virginia · every payer
What every payer pays for 97165 in Virginia
Across 7 commercial payers in Virginia, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $81.71 per session. Virginia Medicaid's fee-for-service rate, $108.73 per session, is 33% above that commercial median.
- Commercial median
- $81.71per session
- Virginia Medicaid
- $108.73
- Medicare
- $99.61
On this page
Payer mix
97165 in Virginia, by payer type
Medicare's physician fee schedule pays $99.61 in Virginia.
By payer
Each payer's 97165 rate in Virginia
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Virginia?
The median of 7 payers' medians is $81.71 per session, from 297 published rates in the October 2026 files.
How does Virginia Medicaid compare with commercial insurance for 97165?
Virginia Medicaid pays $108.73 per session, 33% above the commercial median.
What does Medicare pay for 97165 in Virginia?
$99.61 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Virginia?
UnitedHealthcare's median is $79.76 per session, from 195 rates and 679 providers.
What does Kaiser Permanente pay for 97165 in Virginia?
Kaiser Permanente's median is $111.48 per session, from 38 rates and 52 providers.