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Occupational Therapy Re-Evaluation

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $42.66 to $60.26.

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 $35 to $85
$100.0$1.0K$10.0K$100.0Kprofessional $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
$35.48
Median
$47.86
Typical High
$85.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$109.65

Where Maryland 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.

Maryland $51.29 · 33rd 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.