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Occupational Therapy, Self-Care Training

Indiana 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?

$26.92

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $64.57 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 6 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$24.55$21.88 to $30.20
FacilityA hospital or hospital-owned outpatient department$64.57$34.67 to $87.10

How much rates vary

Facilitymedian $65 · 10th to 90th $24 to $100Professionalmedian $25 · 10th to 90th $19 to $44
$20$50$100facility $65professional $25

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
$23.99
Median
$69.18
Typical High
$100.00
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$39.81
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$28.18
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$42.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$41.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$100.00
Cigna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$33.11
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$60.26

Where Indiana 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.

Indiana· 33rd of 51

$26.92

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.