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Occupational Therapy Evaluation, Low Complexity

Rhode Island 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 $224 · 10th–90th $141$5500%20%10th90th$224Professionalmedian $74 · 10th–90th $48$980%20%10th90th$74$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$128.82