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Occupational Therapy Evaluation, Low Complexity

Nevada 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 $200 · 10th–90th $89$6170%20%10th90th$200Professionalmedian $78 · 10th–90th $54$3020%20%10th90th$78$0.5$2.0$10.0$50.0$200.0

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
$89.13
Median
$288.40
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$100.00
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.25
Median
$104.71
Typical High
$162.18
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$154.88