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Occupational Therapy Evaluation, Moderate Complexity

Nevada 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.

How much does Occupational Therapy Evaluation, Moderate Complexity cost?

$77.62

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$60.26 to $95.50
FacilityA hospital or hospital-owned outpatient department$263$89.13 to $603

How much rates vary

Facilitymedian $263 · 10th to 90th $89 to $617Professionalmedian $78 · 10th to 90th $54 to $200
$1.0$10.0$100.0facility $263professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$263.03
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$100.00
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.40
Median
$104.71
Typical High
$162.18
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$154.88

Where Nevada sits

The same service costs 2.8 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nevada $77.62 · 32nd of 51
AK $182DE $66.07

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.