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Occupational Therapy, Self-Care Training

Arizona 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?

$28.18

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $95.50 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$25.70 to $34.67
FacilityA hospital or hospital-owned outpatient department$95.50$38.02 to $129

How much rates vary

Facilitymedian $95 · 10th to 90th $25 to $151Professionalmedian $28 · 10th to 90th $19 to $63
$20$50$100$200facility $95professional $28

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
$26.30
Median
$112.20
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$26.30
Typical High
$30.20
Ambetter
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$97.72
Typical High
$144.54
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$21.38
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$27.54
Typical High
$36.31
Medica
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$38.02
Typical High
$151.36
Medica
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$34.67
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$33.88
Typical High
$34.67
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
GN · Speech therapy plan
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Ambetter
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$20.42
Median
$22.39
Typical High
$22.39
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$22.39
Median
$22.39
Typical High
$26.92

Where Arizona 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.

Arizona· 37th of 51

$28.18

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.