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Occupational Therapy, Self-Care Training

Georgia 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 physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $31.62 for this service. Most negotiated rates run $24.55 to $36.31.

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.

How much rates vary

Facilitymedian $33 · 10th to 90th $22 to $214Professionalmedian $32 · 10th to 90th $22 to $47
$20$50$100$200$500facility $33professional $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
$21.88
Median
$23.99
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$23.44
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$31.62
Typical High
$44.67
CareSource
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$74.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$22.39
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$36.31
Typical High
$56.23
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$34.67
Typical High
$51.29
2 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
GO · Occupational therapy plan
Typical Low
$23.44
Median
$26.30
Typical High
$42.66
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$19.50
Median
$26.30
Typical High
$48.98

Where Georgia 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.

Georgia· 23rd 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.