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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 October 2026.

How much does Occupational Therapy, Self-Care Training cost?

$36.31

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $36.31 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$31.62 to $39.81
FacilityA hospital or hospital-owned outpatient department$36.31$36.31 to $38.90

How much rates vary

Facilitymedian $36 · 10th to 90th $36 to $95Professionalmedian $36 · 10th to 90th $30 to $49
$20$100$500$2Kfacility $36professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$36.31
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$31.62
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$36.31
Typical High
$64.57
Community Health Options
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Community Health Options
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$38.02
Typical High
$38.02
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$39.81
Typical High
$47.86
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$38.90
Typical High
$4,677.35
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$45.71
Typical High
$53.70

Where Maine sits

The same service costs 3.0 times more in Alaska than in Ohio. 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· 16th of 51

$36.31

AK $63.10OH $20.89

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.