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Occupational Therapy, Self-Care Training

South Dakota 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?

$32.36

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $39.81 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 8 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$32.36$23.44 to $41.69
FacilityA hospital or hospital-owned outpatient department$39.81$31.62 to $77.62

How much rates vary

Facilitymedian $40 · 10th to 90th $23 to $120Professionalmedian $32 · 10th to 90th $21 to $65
$20$50$100$200facility $40professional $32

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
$34.67
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$32.36
Avera
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$39.81
Typical High
$43.65
Avera
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$39.81
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$39.81
Typical High
$151.36
Medica
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$61.66
Median
$61.66
Typical High
$128.82
Medica
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$61.66
Median
$61.66
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$40.74
Typical High
$56.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.90
Typical High
$79.43
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$51.29

Where South Dakota 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.

South Dakota· 17th of 51

$32.36

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.