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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 October 2026.

How much does Occupational Therapy Evaluation, Low Complexity cost?

$151

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $263 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$93.33 to $162
FacilityA hospital or hospital-owned outpatient department$263$209 to $331

How much rates vary

Facilitymedian $263 · 10th to 90th $107 to $398Professionalmedian $117 · 10th to 90th $87 to $269
$50$100$200$500facility $263professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$269.15
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$95.50
Typical High
$123.03
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$269.15
Typical High
$741.31
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$141.25
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$588.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$112.20
Typical High
$144.54
Health Partners
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$295.12
Typical High
$467.74
Health Partners
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$114.82
Medica
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$208.93
Typical High
$302.00
Medica
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$151.36
Typical High
$323.59
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$83.18
Typical High
$263.03

Where Minnesota sits

The same service costs 3.3 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 3rd of 51

$151

AK $200FL $60.26

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.