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Occupational Therapy Re-Evaluation

Iowa 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?

$63.10

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $45.71 to $93.33.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $63 · 10th to 90th $44 to $214
$50$100$200professional $63

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
$43.65
Median
$56.23
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$186.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$190.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$117.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$102.33

Where Iowa 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.

Iowa· 16th of 51

$63.10

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.