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Work Conditioning Program, Each Extra Hour

New York rates for HCPCS 97546

Additional time in a supervised work-conditioning or work-hardening program, in which someone recovering from an injury practices the physical demands of their actual job — lifting, carrying, reaching and sustained activity — to rebuild the capacity to return to work. It is billed in addition to the initial block of the session.

Rates data updated July 2026.

Facilitymedian $166 · 10th–90th $40$3890%10%20%10th90th$166Professionalmedian $45 · 10th–90th $33$830%20%10th90th$45$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$204.17
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$66.07
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$74.13
Typical High
$234.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$100.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$81.28
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$120.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$112.20
Univera
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$87.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$128.82