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Occupational Therapy Evaluation, Low Complexity

Arizona 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 $191 · 10th–90th $71$4170%10%10th90th$191Professionalmedian $83 · 10th–90th $60$2400%10%10th90th$83$1.0$5.0$20.0$100.0$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
$83.18
Median
$239.88
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$223.87
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$120.23