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Occupational Therapy, Self-Care Training

West 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 July 2026.

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

$30.20

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $30.20 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$22.91 to $43.65
FacilityA hospital or hospital-owned outpatient department$30.20$30.20 to $43.65

How much rates vary

Facilitymedian $30 · 10th to 90th $30 to $44Professionalmedian $26 · 10th to 90th $16 to $51
$20$50$100facility $30professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$43.65
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.70
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$33.11
Typical High
$39.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
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
$25.12
Median
$41.69
Typical High
$154.88
Highmark BCBS
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$22.91
Median
$64.57
Typical High
$194.98
Highmark BCBS
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$131.83
Median
$131.83
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$36.31
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$47.86

Where West Virginia 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.

West Virginia· 25th of 51

$30.20

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.