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Occupational Therapy Re-Evaluation

Georgia 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?

$51.29

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $44.67 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 $51 · 10th to 90th $39 to $85
$50$100professional $51

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
$38.90
Median
$48.98
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$109.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$91.20

Where Georgia 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.

Georgia· 32nd of 51

$51.29

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.