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Occupational Therapy Evaluation, Low Complexity

Nebraska 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 $186 · 10th–90th $95$2690%20%10th90th$186Professionalmedian $112 · 10th–90th $72$3470%10%20%10th90th$112$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
$134.90
Median
$190.55
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$177.83
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$213.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$218.78