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Prosthetic Limb Training, Initial Visit

Tennessee rates for HCPCS 97761

A one-on-one therapy session that teaches a patient how to use a newly fitted artificial arm or leg, covering skills such as putting it on, controlling it, and using it for daily activities. This applies to the first training session with the new prosthesis, billed in increments of time.

Rates data updated October 2026.

How much does Prosthetic Limb Training, Initial Visit cost?

$31.62

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $31.62 for this service. Most negotiated rates run $26.30 to $53.70.

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.

How much rates vary

Facilitymedian $158 · 10th to 90th $74 to $324Professionalmedian $32 · 10th to 90th $19 to $263
$20$50$100$200facility $158professional $32

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
$74.13
Median
$158.49
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$26.30
Typical High
$28.18
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$36.31
Typical High
$87.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$19.50
Typical High
$46.77
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$36.31
Typical High
$39.81
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
$28.84
Median
$28.84
Typical High
$28.84

Where Tennessee sits

The same service costs 3.8 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.

Tennessee· 41st of 51

$31.62

AK $79.43OH $20.89

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.