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Occupational Therapy Evaluation, Moderate Complexity

Alaska rates for HCPCS 97166

An occupational therapist assesses how a health condition, injury, or developmental issue is affecting a person's ability to perform everyday tasks like dressing, cooking, or working, then creates a plan of care. This version reflects a moderately complex case, with a somewhat more involved health history and a moderate number of areas affecting daily function compared to a more straightforward evaluation.

Rates data updated July 2026.

Facilitymedian $126 · 10th–90th $74$3310%10%10th90th$126Professionalmedian $186 · 10th–90th $68$3390%5%10%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$199.53
Median
$331.13
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$295.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$457.09
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$239.88
Typical High
$269.15