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Occupational Therapy Re-Evaluation

Maine 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?

$57.54

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $42.66 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $58 · 10th to 90th $33 to $132
$50$100professional $58

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
$31.62
Median
$44.67
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$162.18
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$93.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$134.90

Where Maine 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.

Maine· 19th of 51

$57.54

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.