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Occupational Therapy, Self-Care Training

Tennessee 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 October 2026.

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

$29.51

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $29.51 for this service. Most negotiated rates run $21.38 to $45.71.

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 $158 · 10th to 90th $21 to $324Professionalmedian $30 · 10th to 90th $18 to $209
$20$50$100$200facility $158professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$21.38
Median
$158.49
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$21.38
Typical High
$31.62
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$31.62
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$15.49
Typical High
$40.74
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$32.36
Typical High
$33.11
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$24.55
Median
$33.88
Typical High
$56.23

Where Tennessee sits

The same service costs 3.0 times more in Alaska than in Ohio. 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.

Tennessee· 35th of 51

$29.51

AK $63.10OH $20.89

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.