go back

Occupational Therapy Re-Evaluation

Washington, DC 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?

$54.95

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $46.77 to $54.95.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $55 · 10th to 90th $37 to $78
$50.0$100.0$200.0professional $55

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
$37.15
Median
$52.48
Typical High
$54.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$162.18

Where Washington, DC sits

The same service costs 2.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $54.95 · 27th of 51
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.