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Community/Work Reintegration Training

Delaware rates for HCPCS 97537

One-on-one training that helps a patient relearn practical skills needed to return to daily life, such as shopping, managing money, or getting around the community. A therapist works directly with the patient in hands-on practice sessions, billed in 15-minute increments of direct time. It is often used after an injury, surgery, or illness that affected a person's independence.

Rates data updated October 2026.

How much does Community/Work Reintegration Training cost?

$20.89

Typical physician fee. In Delaware, October 2026.

Insurers have agreed to pay about $20.89 for this service. Most negotiated rates run $19.95 to $26.92.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20 · 10th to 90th $20 to $52Professionalmedian $21 · 10th to 90th $19 to $32
$20$50facility $20professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.95
Typical High
$23.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$21.88
Typical High
$57.54
United
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$26.92
Typical High
$40.74
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Facility
Modifier
CO · OT assistant + GO · Occupational therapy plan
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Delaware sits

The same service costs 3.3 times more in Alaska than in Ohio. 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.

Delaware· 49th of 51

$20.89

AK $63.10OH $19.05

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.