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Occupational Therapy Re-Evaluation

New Jersey 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?

$48.98

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $48.98 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $49 · 10th to 90th $35 to $79
$50.0$100.0$200.0$500.0professional $49

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
$33.11
Median
$46.77
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$87.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$85.11

Where New Jersey 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.

New Jersey $48.98 · 40th 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.