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Occupational Therapy Evaluation

Ohio 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?

$110

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $70.79 to $115.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $71 · 10th to 90th $71 to $41,687Professionalmedian $110 · 10th to 90th $110 to $115
$100$500$2K$10Kfacility $71professional $110

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$114.82

Where Ohio 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.

Ohio· 11th of 36

$110

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.