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Occupational Therapy Re-Evaluation

Virginia 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?

$54.95

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $43.65 to $66.07.

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 $55 · 10th to 90th $41 to $81
$50.0$200.0$1.0K$5.0Kprofessional $55

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
$48.98
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$79.43
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Sentara
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$77.62

Where Virginia 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.

Virginia $54.95 · 29th 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.