What every payer pays for 97165 in Washington
10 commercial payers publish Washington rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $92.38 per session. Washington Medicaid's fee-for-service rate, $61.15 per session, is 34% below that commercial median.
- Commercial median
- $92.38per session
- Washington Medicaid
- $61.15
- Medicare
- $103.71+
On this page
97165 in Washington, by payer type
Medicare's physician fee schedule pays $103.71–$114.12 in Washington across 2 localities.
Each payer's 97165 rate in Washington
Frequently asked questions
What do commercial payers pay for 97165 in Washington?
The median of 10 payers' medians is $92.38 per session, from 330 published rates in the October 2026 files.
How does Washington Medicaid compare with commercial insurance for 97165?
Washington Medicaid pays $61.15 per session, 34% below the commercial median.
What does Medicare pay for 97165 in Washington?
$103.71 to $114.12 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97165 in Washington?
Kaiser Permanente's median is $86.49 per session, from 156 rates and 639 providers.
What does UnitedHealthcare pay for 97165 in Washington?
UnitedHealthcare's median is $82.08 per session, from 87 rates and 641 providers.