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Occupational Therapy, Self-Care Training

Virginia 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?

$22.39

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $43.65 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$19.95 to $26.30
FacilityA hospital or hospital-owned outpatient department$43.65$28.84 to $63.10

How much rates vary

Facilitymedian $44 · 10th to 90th $23 to $155Professionalmedian $22 · 10th to 90th $17 to $32
$20$100$500$2K$10Kfacility $44professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$38.90
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.70
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$19.95
Typical High
$24.55
CareFirst
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$25.12
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$36.31
Typical High
$42.66
Medcost
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$41.69
Medcost
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$61.66
Sentara
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$45.71
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$27.54
Typical High
$54.95
United
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$30.20
Typical High
$39.81

Where Virginia 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.

Virginia· 50th of 51

$22.39

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.