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Occupational Therapy, Self-Care Training

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $34.67 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$28.84$22.39 to $56.23
FacilityA hospital or hospital-owned outpatient department$34.67$25.12 to $53.70

How much rates vary

Facilitymedian $35 · 10th to 90th $23 to $95Professionalmedian $29 · 10th to 90th $17 to $151
$20$50$100$200facility $35professional $29

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
$23.44
Median
$34.67
Typical High
$93.33
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$30.20
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.50
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$33.88
Typical High
$102.33
Medica
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$61.66
Median
$128.82
Typical High
$128.82
Medica
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$61.66
Median
$128.82
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$46.77
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$53.70

Where Missouri 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.

Missouri· 26th 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.