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Occupational Therapy Evaluation, Low Complexity

Tennessee 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 $115 · 10th–90th $63$3240%10%10th90th$115Professionalmedian $71 · 10th–90th $55$1480%10%10th90th$71$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
$63.10
Median
$114.82
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$83.18
Typical High
$154.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$630.96
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$97.72