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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 July 2026.

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

$38.90

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $79.43 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$38.02$30.20 to $83.18
FacilityA hospital or hospital-owned outpatient department$79.43$60.26 to $126

How much rates vary

Facilitymedian $79 · 10th to 90th $35 to $182Professionalmedian $38 · 10th to 90th $23 to $155
$20$50$100$200facility $79professional $38

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
$60.26
Median
$100.00
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$48.98
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$42.66
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$48.98
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$74.13
Typical High
$151.36
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
$26.30
Median
$36.31
Typical High
$208.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$69.18
Midlands
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$47.86
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$28.84
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$89.13

Where Nebraska 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.

Nebraska· 7th of 51

$38.90

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.