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Occupational Therapy Evaluation, Low Complexity

Oklahoma 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 $107 · 10th–90th $69$1950%10%10th90th$107Professionalmedian $83 · 10th–90th $63$1290%10%10th90th$83$50.0$200.0$1.0K$5.0K$20.0K

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
$69.18
Median
$77.62
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$123.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$107.15