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Occupational Therapy, Self-Care Training

Massachusetts 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.

Facilitymedian $110 · 10th–90th $28$2950%10%10th90th$110Professionalmedian $34 · 10th–90th $19$1150%10%10th90th$34$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$97.72
Typical High
$316.23
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$162.18
Median
$162.18
Typical High
$208.93
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$77.62
Median
$138.04
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$154.88
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$20.42
Median
$69.18
Typical High
$81.28
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$83.18
Typical High
$208.93
AllWays Health Partners
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
AllWays Health Partners
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.90
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$89.13
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$37.15
Typical High
$93.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$33.88
Typical High
$87.10
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$28.18
Typical High
$53.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.90
Typical High
$85.11
Health New England
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$154.88
Health New England
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$58.88
Typical High
$102.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$83.18
Typical High
$208.93
Mass General Brigham
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Mass General Brigham
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.90
Typical High
$104.71
Tufts
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$398.11
Tufts
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.12
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.90
Typical High
$89.13