CPT 97150: Group Therapeutic Procedures, Supervised Exercise
Medicare pays $19 and commercial payers pay $66 on average nationally for this procedure.
CPT code 97150 describes a group therapeutic procedure in which a clinician supervises and directs therapeutic activities such as supervised exercise for multiple patients simultaneously; the service type is group therapeutic exercise/therapy, and the typical site of service is outpatient rehabilitation or clinic-based therapy settings where group physical therapy sessions are provided.
For related coverage guidance, see recent payer policy updates: Lumbar Microdiscectomy, Artificial Cervical Intervertebral Disc, Lumbar Decompression.
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National Reimbursement Benchmarks
Across payers, Medicare's mean rate of $18.6 sits close to the lower end of commercial averages while BUCA's mean of $66.5 is substantially higher, illustrating a sizable gap between Medicare and this commercial cohort. Blue Cross Blue Shield and Cigna show higher commercial means overall, with Cigna's mean ($33.4) still well below BUCA's. UnitedHealth Group ($23.2) and Aetna ($16.6) fall nearer to Medicare, highlighting variation in commercial pricing levels relative to the Medicare baseline.
Examining dispersion using the interquartile spread (P75–P25), Blue Cross Blue Shield is the widest with a spread of $56.7, indicating substantial variability among contracted rates. UnitedHealth Group ($8.1) and Aetna ($4.0) are among the tightest distributions, suggesting more consistent pricing. Cigna's spread ($25.3) and BUCA's spread ($36.8) are moderate, placing them between the narrowest and widest payers in terms of rate dispersion.