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Occupational Therapy Re-Evaluation

North Carolina 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?

$54.95

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $43.65 to $58.88.

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 $55 · 10th to 90th $41 to $102
$50.0$100.0$200.0$500.0professional $55

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
$54.95
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$93.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$79.43
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$588.84

Where North Carolina 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.

North Carolina $54.95 · 25th 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.