go back

Oregon rates for HCPCS 97130

Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)

Facilitymedian $34 · 10th–90th $15–$440%20%10th90th$34Professionalmedian $20 · 10th–90th $13–$490%10%10th90th$20$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $50.12 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $50.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $34.67 / $52.48
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $42.66 / $43.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.90 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.18 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $44.67