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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 October 2026.

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

$22.39

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $39.81 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$22.39$15.14 to $34.67
FacilityA hospital or hospital-owned outpatient department$39.81$32.36 to $79.43

How much rates vary

Facilitymedian $40 · 10th to 90th $23 to $132Professionalmedian $22 · 10th to 90th $14 to $56
$20$50$100$200facility $40professional $22

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$33.11
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$22.91
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$16.60
Typical High
$47.86
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$34.67
Typical High
$37.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$20.89
Typical High
$58.88
Medica
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$66.07
Typical High
$151.36
Medica
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$34.67
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$29.51
Typical High
$48.98
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
59 · Distinct service
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Ambetter
Setting
Professional
Modifier
GN · Speech therapy plan
Typical Low
$22.91
Median
$23.99
Typical High
$23.99
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$23.99
Median
$23.99
Typical High
$30.20

Where Missouri 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.

Missouri· 49th of 51

$22.39

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.