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Occupational Therapy Re-Evaluation

Utah 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?

$57.54

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $43.65 to $67.61.

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 $58 · 10th to 90th $37 to $204
$50.0$100.0$200.0professional $58

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
$37.15
Median
$56.23
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$61.66
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$83.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$81.28
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$69.18

Where Utah 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.

Utah $57.54 · 20th 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.