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Occupational Therapy Evaluation, Low Complexity

Missouri 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 $100 · 10th–90th $71$2290%10%20%10th90th$100Professionalmedian $83 · 10th–90th $52$3020%10%10th90th$83$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
$70.79
Median
$107.15
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$134.90