go back

Occupational Therapy Evaluation, High Complexity

Arizona 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 $76 · 10th–90th $58$1550%10%10th90th$76$1.0$5.0$20.0$100.0$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
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$120.23