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Occupational Therapy Evaluation, Low Complexity

Kansas 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 $105 · 10th–90th $76$2000%10%20%10th90th$105Professionalmedian $105 · 10th–90th $71$1230%20%10th90th$105$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
$77.62
Median
$104.71
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$91.20
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$120.23