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Occupational Therapy, Self-Care Training

Colorado 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 July 2026.

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

$28.84

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $38.90 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.84$21.88 to $34.67
FacilityA hospital or hospital-owned outpatient department$38.90$28.84 to $64.57

How much rates vary

Facilitymedian $39 · 10th to 90th $29 to $123Professionalmedian $29 · 10th to 90th $18 to $71
$20$50$100$200facility $39professional $29

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
$28.84
Median
$52.48
Typical High
$147.91
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.30
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$70.79
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$48.98
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$47.86
Typical High
$61.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$67.61
Typical High
$70.79
Select Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$51.29

Where Colorado sits

The same service costs 2.6 times more in Alaska than in Delaware. 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.

Colorado· 28th of 51

$28.84

AK $58.88DE $22.39

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.