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Group Physical or Occupational Therapy

North Carolina 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?

$14.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $19.05 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 6 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$14.45$12.30 to $15.49
FacilityA hospital or hospital-owned outpatient department$19.05$14.79 to $28.18

How much rates vary

Facilitymedian $19 · 10th to 90th $14 to $49Professionalmedian $14 · 10th to 90th $12 to $28
$10$20$50$100facility $19professional $14

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
$14.79
Median
$21.38
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$24.55
Aetna
Setting
Professional
Modifier
CO · OT assistant
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.80
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.79
Typical High
$28.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$16.98
Typical High
$33.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.78
Typical High
$30.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$154.88

Where North Carolina 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.

North Carolina· 32nd of 51

$14.79

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.