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Occupational Therapy, Self-Care Training

Iowa 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?

$35.48

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $50.12 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$33.88$24.55 to $83.18
FacilityA hospital or hospital-owned outpatient department$50.12$32.36 to $70.79

How much rates vary

Facilitymedian $50 · 10th to 90th $21 to $151Professionalmedian $34 · 10th to 90th $19 to $158
$20$50$100$200facility $50professional $34

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
$20.89
Median
$63.10
Typical High
$181.97
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$162.18
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$42.66
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$42.66
Typical High
$151.36
Medica
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medica
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$40.74
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$104.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$57.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$42.66
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.11
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$47.86

Where Iowa 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.

Iowa· 13th of 51

$35.48

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.