go back

Occupational Therapy Evaluation

Wisconsin 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.

Facilitymedian $151 · 10th–90th $66$2950%10%20%10th90th$151Professionalmedian $85 · 10th–90th $68$8130%20%10th90th$85$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$85.11
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$151.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$295.12
Quartz
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$812.83
Typical High
$812.83