go back

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.

How much does Occupational Therapy Evaluation, High Complexity cost?

$186

Typical physician fee. In Alaska, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $85.11 to $282.

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.

How much rates vary

Professionalmedian $186 · 10th to 90th $68 to $355
$100$200$500professional $186

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
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

Where Alaska sits

The same service costs 2.8 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 1st of 51

$186

AK $186KY $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.