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Occupational Therapy, Self-Care Training

Illinois 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?

$33.11

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $54.95 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.11$29.51 to $33.88
FacilityA hospital or hospital-owned outpatient department$54.95$38.90 to $102

How much rates vary

Facilitymedian $55 · 10th to 90th $28 to $257Professionalmedian $33 · 10th to 90th $25 to $35
$20$50$100$200$500facility $55professional $33

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
$23.99
Median
$33.88
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$26.92
Typical High
$30.20
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$75.86
Typical High
$295.12
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$33.88
Typical High
$33.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$31.62
Typical High
$51.29
Hally Health
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$42.66
Typical High
$60.26
Hally Health
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$40.74
Typical High
$42.66
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$38.90
United
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$30.90
Typical High
$52.48
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
$26.30
Median
$26.30
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$23.99
Median
$25.12
Typical High
$33.11

Where Illinois 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.

Illinois· 20th of 51

$33.11

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.