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Occupational Therapy Evaluation, Low Complexity

North Dakota 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 $123 · 10th–90th $91$2820%20%10th90th$123Professionalmedian $166 · 10th–90th $72$2630%20%10th90th$166$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
$91.20
Median
$91.20
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$229.09