go back

Tennessee 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 $76 · 10th–90th $28$2880%5%10th90th$76Professionalmedian $27 · 10th–90th $19$650%10%20%10th90th$27$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
$21.38 / $58.88 / $323.59
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$64.57 / $81.28 / $229.09
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$31.62 / $125.89 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $64.57
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$17.78 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $100.00
Cigna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $29.51 / $56.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $208.93 / $208.93
Lucent Health
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Lucent Health
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $35.48