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Occupational Therapy - Evaluation or Re - Evaluation

Pennsylvania rates for RC 0434

Occupational Therapy-Evaluation or Reevaluation

Rates data updated July 2026.

How much does Occupational Therapy - Evaluation or Re - Evaluation cost?

$120

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $75.86 to $178.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $120 · 10th to 90th $60 to $257
$50$100$200$500facility $120

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
$79.43
Typical High
$158.49
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$123.03
Typical High
$275.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$309.03

Where Pennsylvania sits

The same service costs 4.5 times more in Nevada than in Oklahoma. 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· 15th of 50

$120

NV $288OK $64.57

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.