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Group Physical or Occupational Therapy

Illinois rates for HCPCS 97150

A therapy session where two or more patients are treated together at the same time by a physical or occupational therapist, working on exercises or activities as a group. It's used when group settings are appropriate for the patients' therapy goals.

Rates data updated July 2026.

How much does Group Physical or Occupational Therapy cost?

$16.22

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $15.85 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 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$15.85$12.88 to $19.05
FacilityA hospital or hospital-owned outpatient department$30.20$18.62 to $72.44

How much rates vary

Facilitymedian $30 · 10th to 90th $14 to $151Professionalmedian $16 · 10th to 90th $11 to $23
$10$20$50$100$200facility $30professional $16

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
$14.45
Median
$28.18
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$17.78
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$56.23
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$70.79
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.39
Typical High
$32.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$24.55
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$23.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.50
Typical High
$41.69

Where Illinois sits

The same service costs 2.8 times more in North Dakota 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.

Illinois· 22nd of 51

$16.22

ND $32.36DE $11.48

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.