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Occupational Therapy Evaluation, Low Complexity

Arkansas 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 $98 · 10th–90th $76$1450%20%10th90th$98Professionalmedian $76 · 10th–90th $48$1380%10%10th90th$76$50.0$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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$109.65