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Occupational Therapy Re-Evaluation

Oregon 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?

$85.11

Typical physician fee. In Oregon, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $57.54 to $135.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $85 · 10th to 90th $45 to $186
$50$100$200professional $85

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
$60.26
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$177.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$117.49

Where Oregon sits

The same service costs 2.8 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.

Oregon· 5th of 51

$85.11

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.