go back

Minnesota rates for HCPCS 97535

Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes

Facilitymedian $100 · 10th–90th $41$1620%5%10%10th90th$100Professionalmedian $50 · 10th–90th $23$1000%10%10th90th$50$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
$50.12 / $112.20 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $169.82
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $74.13 / $93.33
BCBS
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$30.90 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $144.54 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $52.48
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $138.04 / $147.91
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $44.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $91.20 / $141.25
Medica
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$61.66 / $128.82 / $128.82
Medica
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$61.66 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $63.10 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $100.00