97165 · Wisconsin · every payer
What every payer pays for 97165 in Wisconsin
8 commercial payers publish Wisconsin rates for 97165 (occupational therapy evaluation, level 1 of 3), and the median of their medians is $99.91 per session. Wisconsin Medicaid's fee-for-service rate, $62.66 per session, is 37% below that commercial median.
- Commercial median
- $99.91per session
- Wisconsin Medicaid
- $62.66
- Medicare
- $98.26
On this page
Payer mix
97165 in Wisconsin, by payer type
Medicare's physician fee schedule pays $98.26 in Wisconsin.
By payer
Each payer's 97165 rate in Wisconsin
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in Wisconsin?
The median of 8 payers' medians is $99.91 per session, from 168 published rates in the October 2026 files.
How does Wisconsin Medicaid compare with commercial insurance for 97165?
Wisconsin Medicaid pays $62.66 per session, 37% below the commercial median.
What does Medicare pay for 97165 in Wisconsin?
$98.26 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97165 in Wisconsin?
UnitedHealthcare's median is $98.26 per session, from 100 rates and 261 providers.
What does Kaiser Permanente pay for 97165 in Wisconsin?
Kaiser Permanente's median is $108.30 per session, from 20 rates and 25 providers.