go back

Occupational Therapy Re-Evaluation

Ohio 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?

$50.12

Typical physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $41.69 to $63.10.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $50 · 10th to 90th $37 to $87
$1.0$5.0$20.0$100.0$500.0professional $50

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
$35.48
Median
$45.71
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$97.72
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$102.33
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$51.29
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$74.13

Where Ohio 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.

Ohio $50.12 · 36th 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.