go back

Occupational Therapy Evaluation, Low Complexity

Alabama rates for HCPCS 97165

An occupational therapist assesses how a health condition, injury, or developmental issue affects a person's ability to manage everyday tasks like dressing, bathing, or working, then puts together a plan of care. This version applies to more straightforward cases, where the health history and the number of affected daily activities are relatively limited.

Rates data updated July 2026.

Facilitymedian $83 · 10th–90th $41$1000%20%10th90th$83Professionalmedian $72 · 10th–90th $52$1000%10%20%10th90th$72$50.0$100.0$200.0

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$104.71