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 October 2026.

How much does Occupational Therapy Evaluation, High Complexity cost?

$200

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $204 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$166 to $200
FacilityA hospital or hospital-owned outpatient department$204$200 to $245

How much rates vary

Facilitymedian $204 · 10th to 90th $129 to $288Professionalmedian $200 · 10th to 90th $132 to $240
$100$200facility $204professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$109.65
Typical High
$295.12
Moda Health
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$245.47
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Providence
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$288.40
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$107.15
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$239.88
Typical High
$275.42

Where Alaska sits

The same service costs 3.3 times more in Alaska than in Florida. 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

$200

AK $200FL $60.26

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.