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Occupational Therapy, Self-Care Training

Nebraska 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?

$47.86

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $112 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$45.71$32.36 to $66.07
FacilityA hospital or hospital-owned outpatient department$112$67.61 to $151

How much rates vary

Facilitymedian $112 · 10th to 90th $41 to $195Professionalmedian $46 · 10th to 90th $27 to $95
$50$100$200facility $112professional $46

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
$32.36
Median
$67.61
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
GO · Occupational therapy plan
Typical Low
$22.39
Median
$24.55
Typical High
$37.15
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$147.91
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$56.23
Typical High
$67.61
Medica
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$107.15
Typical High
$169.82
Medica
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$42.66
Typical High
$208.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$56.23
Typical High
$83.18
Midlands
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$64.57
Typical High
$74.13
United
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$28.84
United
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$29.51
Typical High
$85.11
1 more rate 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
GP · Physical therapy plan
Typical Low
$24.55
Median
$24.55
Typical High
$46.77

Where Nebraska 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.

Nebraska· 5th of 51

$47.86

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.