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Occupational Therapy, Self-Care Training

Utah 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 Utah, 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 $34.67 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 7 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$22.39 to $38.02
FacilityA hospital or hospital-owned outpatient department$34.67$34.67 to $45.71

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $46Professionalmedian $32 · 10th to 90th $16 to $141
$20$50$100facility $35professional $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
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$147.91
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$31.62
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$43.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$35.48
Typical High
$51.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$45.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.88
Typical High
$37.15
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$34.67
Typical High
$46.77

Where Utah 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.

Utah· 16th 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.