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Occupational Therapy, Self-Care Training

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $102 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 5 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$26.30$21.38 to $33.88
FacilityA hospital or hospital-owned outpatient department$102$77.62 to $112

How much rates vary

Facilitymedian $102 · 10th to 90th $58 to $162Professionalmedian $26 · 10th to 90th $19 to $39
$20.0$50.0$100.0facility $102professional $26

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. 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
Global
Typical Low
$57.54
Median
$112.20
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$35.48
Typical High
$64.57
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$40.74
Typical High
$81.28

Where Vermont sits

The same service costs 2.6 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $26.30 · 39th of 51
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.