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Occupational Therapy Evaluation

Minnesota 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 July 2026.

How much does Occupational Therapy Evaluation cost?

$79.43

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $295 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$67.61 to $87.10
FacilityA hospital or hospital-owned outpatient department$295$224 to $355

How much rates vary

Facilitymedian $295 · 10th to 90th $115 to $380Professionalmedian $68 · 10th to 90th $68 to $117
$100$200$500facility $295professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$125.89
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$354.81
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83

Where Minnesota sits

The same service costs 398.1 times more in Kentucky than in Washington. 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.

Minnesota· 31st of 36

$79.43

KY $28,184WA $70.79

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.