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Occupational Therapy Evaluation

South Dakota 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?

$83.18

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $67.61 to $83.18.

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 $87 · 10th to 90th $52 to $295Professionalmedian $83 · 10th to 90th $68 to $85
$100$200$500facility $87professional $83

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$812.83
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20

Where South Dakota 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.

South Dakota· 25th of 36

$83.18

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.