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Work Conditioning Therapy Session

Montana rates for HCPCS 97545

A supervised therapy program that rebuilds the strength, stamina, and movement patterns a person needs to return to their job after injury or illness, using tasks that mimic real work such as lifting, carrying, and repeated reaching. Sessions are long and intensive compared with ordinary clinic therapy, and progress is measured against the demands of the person's actual job. This covers the first block of time in a session; longer sessions are charged for the extra time on top.

Rates data updated October 2026.

How much does Work Conditioning Therapy Session cost?

$224

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $282 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$162 to $234
FacilityA hospital or hospital-owned outpatient department$282$263 to $288

How much rates vary

Facilitymedian $282 · 10th to 90th $182 to $309Professionalmedian $224 · 10th to 90th $129 to $269
$100$200facility $282professional $224

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
Professional
Modifier
None
Typical Low
$109.65
Median
$131.83
Typical High
$173.78
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$234.42
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$281.84
Typical High
$302.00
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$281.84
Typical High
$295.12
Providence
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$309.03
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$223.87
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$165.96

Where Montana sits

The same service costs 10.7 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.

Montana· 3rd of 51

$224

AK $309OH $28.84

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.