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Occupational Therapy, Self-Care Training

Rhode Island 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 negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 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 4 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$26.30$21.88 to $30.20
FacilityA hospital or hospital-owned outpatient department$79.43$72.44 to $209

How much rates vary

Facilitymedian $79 · 10th to 90th $68 to $209Professionalmedian $26 · 10th to 90th $21 to $35
$20$50$100$200facility $79professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$32.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$34.67
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$27.54
Typical High
$48.98

Where Rhode Island 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.

Rhode Island· 36th 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.