go back

Occupational Therapy Re-Evaluation

California rates for HCPCS 97004

A follow-up assessment by an occupational therapist to review how a patient is progressing and to update the plan of care. Occupational therapy focuses on everyday activities such as dressing, cooking, writing and getting back to work.

Rates data updated October 2026.

How much does Occupational Therapy Re-Evaluation cost?

$234

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $234 to $234.

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 $44 · 10th to 90th $25 to $95Professionalmedian $234 · 10th to 90th $234 to $234
$20$50$100$200$500facility $44professional $234

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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Providence
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$43.65
Typical High
$95.50

Where California sits

The same service costs 9.3 times more in Kansas than in Kentucky. 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.

California· 8th of 35

$234

KS $234KY $25.12

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.