go back

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 October 2026.

How much does Occupational Therapy Re-Evaluation cost?

$56.23

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $56.23 for this service. Most negotiated rates run $37.15 to $57.54.

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

Facilitymedian $37 · 10th to 90th $30 to $263Professionalmedian $56 · 10th to 90th $37 to $63
$50$100$200$500facility $37professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$37.15
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$37.15
Typical High
$54.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.79
Median
$18.62
Typical High
$18.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$77.62
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$57.54
United
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$72.44

Where New Jersey sits

The same service costs 3.0 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.

New Jersey· 34th of 51

$56.23

AK $135FL $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.