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Occupational Therapy Evaluation, Low Complexity

Colorado 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 $102 · 10th–90th $78$3890%20%10th90th$102Professionalmedian $76 · 10th–90th $54$1200%10%20%10th90th$76$2.0$10.0$50.0$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
$89.13
Median
$123.03
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$134.90
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$208.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$208.93
Typical High
$218.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$107.15