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Occupational Therapy Evaluation, Moderate Complexity

Oregon 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 $174 · 10th–90th $91$2510%20%10th90th$174Professionalmedian $123 · 10th–90th $66$2880%10%10th90th$123$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
$114.82
Median
$251.19
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$257.04
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$251.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$331.13
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$181.97