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Community/Work Reintegration Training

Georgia 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?

$30.20

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $52.48 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$25.70 to $33.88
FacilityA hospital or hospital-owned outpatient department$52.48$24.55 to $251

How much rates vary

Facilitymedian $52 · 10th to 90th $21 to $339Professionalmedian $30 · 10th to 90th $22 to $44
$20$50$100$200$500facility $52professional $30

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
$20.89
Median
$24.55
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$30.20
Typical High
$40.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$20.89
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$35.48
Typical High
$45.71
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$251.19
Typical High
$338.84
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$33.88
Typical High
$48.98
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
Ambetter
Setting
Professional
Modifier
GP · Physical therapy plan
Typical Low
$35.48
Median
$35.48
Typical High
$35.48

Where Georgia 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.

Georgia· 27th of 51

$30.20

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.