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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 July 2026.

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

$26.30

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $54.95 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$24.55$21.38 to $33.11
FacilityA hospital or hospital-owned outpatient department$54.95$30.20 to $148

How much rates vary

Facilitymedian $55 · 10th to 90th $21 to $209Professionalmedian $25 · 10th to 90th $19 to $50
$20$50$100$200facility $55professional $25

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
$39.81
Typical High
$158.49
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$100.00
Median
$100.00
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.11
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$100.00
Cigna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$29.51
Typical High
$56.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$208.93
Typical High
$208.93
Lucent Health
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Lucent Health
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$36.31
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$37.15

Where Tennessee 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.

Tennessee· 38th 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.