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Occupational Therapy Evaluation, Low Complexity

Minnesota 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 $229 · 10th–90th $98$4680%5%10%10th90th$229Professionalmedian $145 · 10th–90th $74$2880%10%10th90th$145$20.0$50.0$100.0$200.0$500.0$1.0K

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
$91.20
Median
$91.20
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$234.42
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$177.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$467.74
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$245.47
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$309.03