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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 October 2026.

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

$40.74

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $48.98 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$40.74$33.11 to $47.86
FacilityA hospital or hospital-owned outpatient department$48.98$39.81 to $57.54

How much rates vary

Facilitymedian $49 · 10th to 90th $35 to $72Professionalmedian $41 · 10th to 90th $24 to $58
$20$50$100$200facility $49professional $41

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
$21.38
Median
$41.69
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$32.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$41.69
Typical High
$56.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$41.69
Typical High
$52.48
Medica
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$51.29
Typical High
$67.61
Medica
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$42.66
Typical High
$158.49
Midlands
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$50.12
Midlands
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$57.54
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$44.67
Typical High
$66.07
United
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$56.23
United
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$32.36
Typical High
$48.98
Wellmark
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$47.86

Where Iowa 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.

Iowa· 11th of 51

$40.74

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.