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Work Conditioning Therapy Session

South Dakota 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 July 2026.

How much does Work Conditioning Therapy Session cost?

$120

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $112 to $151.

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.

How much rates vary

Facilitymedian $162 · 10th to 90th $91 to $324Professionalmedian $117 · 10th to 90th $107 to $166
$100$200$500facility $162professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$251.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$302.00
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$275.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$151.36

Where South Dakota sits

The same service costs 2.7 times more in Wyoming 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.

South Dakota· 25th of 51

$120

WY $245OH $91.20

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.