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Occupational Therapy Evaluation

North Carolina 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?

$120

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $81.28 to $295.

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 $100 · 10th to 90th $60 to $295Professionalmedian $389 · 10th to 90th $389 to $813
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $100professional $389

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$114.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$151.36
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$812.83

Where North Carolina sits

The same service costs 398.1 times more in Kentucky than in Washington. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $120 · 8th of 36
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.