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Occupational Therapy Evaluation, Moderate Complexity

Oklahoma 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?

$89.13

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $107 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$79.43$69.18 to $115
FacilityA hospital or hospital-owned outpatient department$107$77.62 to $151

How much rates vary

Facilitymedian $107 · 10th to 90th $69 to $195Professionalmedian $79 · 10th to 90th $63 to $126
$100.0$1.0K$10.0Kfacility $107professional $79

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
$69.18
Median
$74.13
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$123.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$104.71

Where Oklahoma 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.

Oklahoma $89.13 · 20th 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.