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Occupational Therapy Evaluation

Iowa 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?

$100

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $100 to $174.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $115 · 10th to 90th $93 to $295Professionalmedian $100 · 10th to 90th $83 to $813
$100$200$500facility $115professional $100

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$109.65
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$204.17
Medica
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$114.82
Typical High
$295.12
Medica
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$812.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Midlands
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50

Where Iowa 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.

Iowa· 23rd of 35

$100

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.