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Sensory Processing Therapy Session

North Carolina rates for HCPCS 97533

This is a hands-on therapy session that uses specific activities to help someone process sensory information, such as touch, movement, or sound, more effectively, and to respond to their surroundings in a more comfortable and functional way. The therapist works one-on-one with the patient throughout the session.

Rates data updated July 2026.

How much does Sensory Processing Therapy Session cost?

$43.65

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $53.70 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$43.65$36.31 to $52.48
FacilityA hospital or hospital-owned outpatient department$53.70$43.65 to $72.44

How much rates vary

Facilitymedian $54 · 10th to 90th $28 to $145Professionalmedian $44 · 10th to 90th $22 to $58
$20$50$100$200facility $54professional $44

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
$32.36
Median
$53.70
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$43.65
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$85.11
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$41.69
Typical High
$67.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$53.70
Typical High
$75.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$67.61
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$41.69
Typical High
$54.95
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$512.86

Where North Carolina sits

The same service costs 4.3 times more in North Dakota than in Rhode Island. 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· 35th of 51

$43.65

ND $115RI $26.92

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.