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97530 · Delaware · every payer

What every payer pays for 97530 in Delaware

Across 3 commercial payers in Delaware, the middle payer's median for 97530 (functional activity training) is $34.20 per 15 min. Delaware Medicaid's fee-for-service rate, $18.70 per 15 min, is 45% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$34.20per 15 min
Delaware Medicaid
$18.70
Medicare
$34.87
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Payer mix

97530 in Delaware, by payer type

Medicare's physician fee schedule pays $34.87 in Delaware.

Delaware Medicaid$18.70
Medicare$34.87
Commercial (3 payers)$34.20
UnitedHealthcare$32.82
Horizon BCBS NJ$35.58
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in Delaware

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$32.82 per 15 min$131.2862
Horizon BCBS NJCommercial$35.58 per 15 min$142.3210
See every payer's 97530 rate in Delaware

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97530 in Delaware?

The median of 3 payers' medians is $34.20 per 15 min, from 83 published rates in the October 2026 files.

How does Delaware Medicaid compare with commercial insurance for 97530?

Delaware Medicaid pays $18.70 per 15 min, 45% below the commercial median.

What does Medicare pay for 97530 in Delaware?

$34.87 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97530 in Delaware?

UnitedHealthcare's median is $32.82 per 15 min, from 62 rates and 109 providers.

What does Horizon BCBS NJ pay for 97530 in Delaware?

Horizon BCBS NJ's median is $35.58 per 15 min, from 10 rates and 14 providers.