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Occupational Therapy Evaluation, Moderate Complexity

Michigan 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 October 2026.

How much does Occupational Therapy Evaluation, Moderate Complexity cost?

$79.43

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $120 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$75.86 to $89.13
FacilityA hospital or hospital-owned outpatient department$120$81.28 to $151

How much rates vary

Facilitymedian $120 · 10th to 90th $79 to $209Professionalmedian $79 · 10th to 90th $76 to $93
$100$200facility $120professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$77.62
Median
$95.50
Typical High
$95.50
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$141.25
Typical High
$186.21
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$93.33
Typical High
$93.33
BCBS Michigan
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
CareSource
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$234.42
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$100.00
Typical High
$263.03
Health Alliance Plan
Setting
Facility
Modifier
GO · Occupational therapy plan
Typical Low
$100.00
Median
$204.17
Typical High
$269.15
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$75.86
Typical High
$97.72
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Health Alliance Plan
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$134.90
Median
$213.80
Typical High
$223.87
Priority Health
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$79.43
Typical High
$125.89
United
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$100.00
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$79.43
Typical High
$91.20

Where Michigan sits

The same service costs 3.3 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 37th of 51

$79.43

AK $200FL $60.26

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.