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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 July 2026.

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

$27.54

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $58.88 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$27.54$21.88 to $33.88
FacilityA hospital or hospital-owned outpatient department$58.88$33.11 to $174

How much rates vary

Facilitymedian $59 · 10th to 90th $23 to $282Professionalmedian $28 · 10th to 90th $20 to $48
$20$50$100$200$500$1Kfacility $59professional $28

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
$22.91
Median
$58.88
Typical High
$281.84
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$44.67
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$56.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$32.36
Typical High
$39.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$34.67
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$56.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$51.29

Where Georgia 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.

Georgia· 31st of 51

$27.54

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.