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Occupational Therapy, Self-Care Training

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 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 8 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$24.55$20.89 to $30.20
FacilityA hospital or hospital-owned outpatient department$31.62$24.55 to $47.86

How much rates vary

Facilitymedian $32 · 10th to 90th $25 to $72Professionalmedian $25 · 10th to 90th $14 to $43
$20$50$100facility $32professional $25

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
$24.55
Median
$30.90
Typical High
$91.20
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$28.84
Median
$28.84
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$42.66
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$25.12
Median
$25.12
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$32.36
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.90
Typical High
$77.62
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$85.11
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$50.12
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$32.36
Typical High
$83.18

Where Michigan 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.

Michigan· 49th 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.