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Occupational Therapy Re-Evaluation

Connecticut rates for HCPCS 97168

This is a follow-up assessment by an occupational therapist to check a patient's progress on an existing treatment plan and adjust the goals or approach as needed. It is used when there has been a meaningful change in a patient's condition or function since the original evaluation.

Rates data updated July 2026.

How much does Occupational Therapy Re-Evaluation cost?

$48.98

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $41.69 to $63.10.

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 $49 · 10th to 90th $35 to $85
$50$100professional $49

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
$35.48
Median
$47.86
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$128.82
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$74.13
Health New England
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$89.13

Where Connecticut sits

The same service costs 2.8 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.

Connecticut· 44th of 51

$48.98

AK $126FL $45.71

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.