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Occupational Therapy, Self-Care Training

Maine 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?

$30.20

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $53.70 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$27.54$21.38 to $39.81
FacilityA hospital or hospital-owned outpatient department$53.70$39.81 to $57.54

How much rates vary

Facilitymedian $54 · 10th to 90th $39 to $66Professionalmedian $28 · 10th to 90th $16 to $63
$20$100$500$2Kfacility $54professional $28

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
$38.90
Median
$53.70
Typical High
$66.07
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.88
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$35.48
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$75.86
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$37.15
Typical High
$53.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$46.77
Typical High
$67.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$66.07
Martin's Point
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$35.48
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$77.62

Where Maine 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.

Maine· 23rd of 51

$30.20

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.