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Occupational Therapy

Pennsylvania rates for RC 0430

Occupational Therapy-General Classification

Rates data updated July 2026.

How much does Occupational Therapy cost?

$66.07

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $41.69 to $115.

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

Facilitymedian $66 · 10th to 90th $24 to $155
$5$10$20$50$100$200facility $66

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
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$173.78
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$52.48
Typical High
$125.89
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$177.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$309.03

Where Pennsylvania sits

The same service costs 5.5 times more in Nevada than in West Virginia. 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.

Pennsylvania· 35th of 50

$66.07

NV $288WV $52.48

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.