go back

Occupational Therapy, Self-Care Training

Idaho 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?

$31.62

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $40.74 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$30.90$26.30 to $38.90
FacilityA hospital or hospital-owned outpatient department$40.74$33.11 to $57.54

How much rates vary

Facilitymedian $41 · 10th to 90th $30 to $72Professionalmedian $31 · 10th to 90th $16 to $63
$20$50$100facility $41professional $31

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
$30.90
Median
$37.15
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$30.20
Typical High
$56.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$31.62
Typical High
$50.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$34.67
Typical High
$58.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$64.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$47.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$38.02
Typical High
$100.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.88
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$37.15

Where Idaho 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.

Idaho· 20th of 51

$31.62

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.