go back

Occupational Therapy Evaluation, Low Complexity

Louisiana 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 $115 · 10th–90th $81$2750%20%10th90th$115Professionalmedian $71 · 10th–90th $54$980%20%10th90th$71$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
$81.28
Median
$107.15
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$91.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$93.33