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Occupational Therapy Evaluation, High Complexity

Alaska rates for HCPCS 97167

This is a thorough evaluation performed by an occupational therapist to assess a patient's ability to perform daily activities, such as dressing, cooking, or work tasks, when the patient's condition involves multiple complicating factors. It typically includes a detailed history, standardized assessments, and clinical judgment to develop a treatment plan for a patient with a more complex presentation than a routine evaluation. This level reflects more time and clinical complexity than a basic evaluation.

Rates data updated July 2026.

Professionalmedian $186 · 10th–90th $68$3550%5%10%10th90th$186$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$295.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$457.09
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$239.88
Typical High
$331.13