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Occupational Therapy, Self-Care Training

Maryland 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?

$25.70

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $38.90 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$25.70$21.88 to $33.11
FacilityA hospital or hospital-owned outpatient department$38.90$24.55 to $91.20

How much rates vary

Facilitymedian $39 · 10th to 90th $19 to $98Professionalmedian $26 · 10th to 90th $19 to $48
$10.0$20.0$50.0$100.0$200.0facility $39professional $26

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
$18.62
Median
$38.90
Typical High
$97.72
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$67.61
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$25.12
Median
$26.92
Typical High
$38.02
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.90
Typical High
$48.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$34.67
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$45.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.88
Typical High
$51.29

Where Maryland sits

The same service costs 2.6 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $25.70 · 44th of 51
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.