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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 October 2026.

How much does Occupational Therapy Evaluation cost?

$110

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $83.18 to $813.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $245 · 10th to 90th $162 to $282Professionalmedian $110 · 10th to 90th $68 to $813
$100$200$500facility $245professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$245.47
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$109.65
DeanCare
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medica
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medica
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Prevea360
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Wisconsin sits

The same service costs 26.9 times more in Missouri than in South Carolina. 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.

Wisconsin· 21st of 35

$110

MO $813SC $30.20

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.