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97530 · District of Columbia · every payer

What every payer pays for 97530 in District of Columbia

Across 4 commercial payers in District of Columbia, the middle payer's median for 97530 (functional activity training) is $34.12 per 15 min. District of Columbia Medicaid's fee-for-service rate, $31.58 per 15 min, is 7.4% below that commercial median.

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

Commercial median
$34.12per 15 min
District of Columbia Medicaid
$31.58
Medicare
$39.47
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Payer mix

97530 in District of Columbia, by payer type

Medicare's physician fee schedule pays $39.47 in District of Columbia.

District of Columbia Medicaid$31.58
Medicare$39.47
Commercial (4 payers)$34.12
UnitedHealthcare$46.66
BCBS Texas$29.07
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in District of Columbia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$46.66 per 15 min$186.6437
BCBS TexasCommercial$29.07 per 15 min$116.2812
See every payer's 97530 rate in District of Columbia

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 District of Columbia?

The median of 4 payers' medians is $34.12 per 15 min, from 64 published rates in the October 2026 files.

How does District of Columbia Medicaid compare with commercial insurance for 97530?

District of Columbia Medicaid pays $31.58 per 15 min, 7.4% below the commercial median.

What does Medicare pay for 97530 in District of Columbia?

$39.47 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97530 in District of Columbia?

UnitedHealthcare's median is $46.66 per 15 min, from 37 rates and 72 providers.

What does BCBS Texas pay for 97530 in District of Columbia?

BCBS Texas's median is $29.07 per 15 min, from 12 rates and 20 providers.