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Occupational Therapy Evaluation, Moderate Complexity

North Dakota 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 $91 · 10th–90th $85$1820%50%10th90th$91Professionalmedian $170 · 10th–90th $68$2630%10%20%10th90th$170$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
$91.20
Median
$91.20
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$229.09