go back

Occupational Therapy Evaluation

California rates for HCPCS 97003

The first appointment with an occupational therapist, in which they take a history, test how well you manage everyday tasks such as dressing, cooking, writing, and handling objects, and identify what is limiting you. The visit produces goals and a written plan for the therapy that follows.

Rates data updated October 2026.

How much does Occupational Therapy Evaluation cost?

$813

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $389 to $813.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $93 · 10th to 90th $46 to $162Professionalmedian $813 · 10th to 90th $389 to $813
$50$100$200$500facility $93professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$812.83
Typical High
$812.83
Providence
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$93.33
Typical High
$162.18

Where California sits

The same service costs 26.9 times more in Missouri than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 10th of 35

$813

MO $813SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.