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Community/Work Reintegration Training

Kentucky 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?

$21.88

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $27.54 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$21.88$19.05 to $25.12
FacilityA hospital or hospital-owned outpatient department$27.54$25.70 to $40.74

How much rates vary

Facilitymedian $28 · 10th to 90th $25 to $41Professionalmedian $22 · 10th to 90th $18 to $32
$20$50facility $28professional $22

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$25.70
Typical High
$28.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$24.55
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$27.54
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.38
Typical High
$32.36
CareSource
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
CareSource
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$39.81
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$23.99
Typical High
$154.88
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$25.70
Typical High
$31.62
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
$19.50
Median
$19.50
Typical High
$19.50

Where Kentucky 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.

Kentucky· 48th of 51

$21.88

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.