go back

Occupational Therapy, Self-Care Training

Florida 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?

$23.99

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $61.66 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 8 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$23.99$20.89 to $30.20
FacilityA hospital or hospital-owned outpatient department$61.66$27.54 to $158

How much rates vary

Facilitymedian $62 · 10th to 90th $20 to $295Professionalmedian $24 · 10th to 90th $19 to $37
$20$50$100$200$500facility $62professional $24

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
$19.95
Median
$70.79
Typical High
$295.12
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$66.07
Median
$79.43
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$37.15
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$25.12
Median
$25.12
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
AvMed
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$33.11
AvMed
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$51.29
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$58.88
Typical High
$60.26
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$22.39
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$43.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$33.11

Where Florida 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.

Florida· 50th of 51

$23.99

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.