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Occupational Therapy, Self-Care Training

Washington, DC 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?

$25.70

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $25.70 for this service. Most negotiated rates run $24.55 to $63.10.

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 $87 · 10th to 90th $26 to $257Professionalmedian $26 · 10th to 90th $21 to $45
$20$50$100$200$500facility $87professional $26

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
$25.70
Median
$87.10
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$26.30
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$66.07
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$31.62
Typical High
$69.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$39.81
Typical High
$81.28

Where Washington, DC 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.

Washington, DC· 45th of 51

$25.70

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.