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Occupational Therapy Re-Evaluation

Idaho 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?

$64.57

Typical physician fee. In Idaho, July 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $60.26 to $85.11.

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 $65 · 10th to 90th $49 to $120
$50$100professional $65

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
$48.98
Median
$63.10
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$134.90
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$97.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$102.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$64.57

Where Idaho 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.

Idaho· 12th of 51

$64.57

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.