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Occupational Therapy Re-Evaluation

Massachusetts 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 July 2026.

How much does Occupational Therapy Re-Evaluation cost?

$234

Typical physician fee. In Massachusetts, July 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 $174 · 10th to 90th $174 to $174Professionalmedian $234 · 10th to 90th $234 to $234
$50.0$100.0$200.0facility $174professional $234

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
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$53.70
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42

Where Massachusetts sits

The same service costs 707.9 times more in Kentucky than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $234 · 3rd of 36
KY $28,184HI $39.81

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.