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Occupational Therapy, Self-Care Training

New Jersey 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?

$26.30

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $26.30 for this service. Most negotiated rates run $21.38 to $33.88.

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.

How much rates vary

Facilitymedian $69 · 10th to 90th $21 to $331Professionalmedian $26 · 10th to 90th $18 to $42
$20$100$500$2K$10Kfacility $69professional $26

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
$21.38
Median
$69.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$38.90
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$25.12
Median
$25.12
Typical High
$38.02
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.88
Typical High
$74.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$44.67
Typical High
$81.28
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$36.31
Typical High
$67.61

Where New Jersey 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.

New Jersey· 40th of 51

$26.30

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.