go back

Occupational Therapy, Self-Care Training

Kentucky 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?

$24.55

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $31.62 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 7 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$23.44$20.42 to $28.84
FacilityA hospital or hospital-owned outpatient department$31.62$28.18 to $41.69

How much rates vary

Facilitymedian $32 · 10th to 90th $24 to $91Professionalmedian $23 · 10th to 90th $17 to $42
$20$50$100facility $32professional $23

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
$21.88
Median
$38.02
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$41.69
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$19.95
Median
$38.02
Typical High
$53.70
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
$28.18
Median
$28.18
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$36.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$43.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$35.48
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$79.43
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
$18.20
Median
$37.15
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$29.51
Typical High
$43.65

Where Kentucky 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.

Kentucky· 47th of 51

$24.55

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.