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Occupational Therapy, Self-Care Training

Alabama rates for HCPCS 97535

An occupational therapist works one-on-one with a patient to build or relearn skills needed for daily activities such as dressing, bathing, cooking, or managing a household. This is billed in 15-minute increments and is often used after an injury, surgery, or illness that affects a person's ability to manage everyday tasks.

Rates data updated October 2026.

How much does Occupational Therapy, Self-Care Training cost?

$31.62

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $46.77 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$31.62$23.44 to $31.62
FacilityA hospital or hospital-owned outpatient department$46.77$46.77 to $46.77

How much rates vary

Facilitymedian $47 · 10th to 90th $32 to $47Professionalmedian $32 · 10th to 90th $16 to $33
$20$50facility $47professional $32

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$31.62
Typical High
$31.62
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
BCBS Alabama
Setting
Professional
Modifier
10 + 12 + 32 · Mandated service
Typical Low
$23.99
Median
$33.11
Typical High
$38.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$16.22
Typical High
$26.92
United
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$30.20
Typical High
$33.11
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
59 · Distinct service
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Ambetter
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$23.99
Median
$23.99
Typical High
$41.69
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$21.88
Median
$23.99
Typical High
$23.99

Where Alabama sits

The same service costs 3.0 times more in Alaska than in Ohio. 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.

Alabama· 24th of 51

$31.62

AK $63.10OH $20.89

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.