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Occupational Therapy Re-Evaluation

New York 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 New York, July 2026.

Insurers have agreed to pay about $51.29 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $51 · 10th to 90th $36 to $135
$10.0$20.0$50.0$100.0$200.0professional $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
$31.62
Median
$47.86
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$107.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$52.48
Typical High
$93.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$81.28
Typical High
$154.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$128.82
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$190.55
Univera
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$134.90

Where New York 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 York $51.29 · 31st 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.