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Occupational Therapy, Self-Care Training

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $57.54 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$29.51$22.39 to $38.02
FacilityA hospital or hospital-owned outpatient department$57.54$37.15 to $214

How much rates vary

Facilitymedian $58 · 10th to 90th $31 to $355Professionalmedian $30 · 10th to 90th $18 to $141
$100$1K$10K$100Kfacility $58professional $30

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
$37.15
Median
$47.86
Typical High
$57.54
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$26.92
Typical High
$154.88
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$25.12
Median
$25.12
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$245.47
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$36.31
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$46.77
Providence
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$32.36
Typical High
$70.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$36.31
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$42.66

Where New Mexico 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 Mexico· 24th 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.