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97530 · Illinois · every payer

What every payer pays for 97530 in Illinois

Across 12 commercial payers in Illinois, the middle payer's median for 97530 (functional activity training) is $34.80 per 15 min. Illinois Medicaid's fee-for-service rate, $23.34 per 15 min, is 33% below that commercial median.

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

Commercial median
$34.80per 15 min
Illinois Medicaid
$23.34
Medicare
$33.52+
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Payer mix

97530 in Illinois, by payer type

Medicare's physician fee schedule pays $33.52–$35.97 in Illinois across 4 localities.

Illinois Medicaid$23.34
Medicare$35.97$33.52 low
Commercial (12 payers)$34.80
UnitedHealthcare$34.36
BCBS Illinois$34.80
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in Illinois

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$34.36 per 15 min$137.44183
BCBS IllinoisCommercial$34.80 per 15 min$139.2060
See every payer's 97530 rate in Illinois

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 Illinois?

The median of 12 payers' medians is $34.80 per 15 min, from 420 published rates in the October 2026 files.

How does Illinois Medicaid compare with commercial insurance for 97530?

Illinois Medicaid pays $23.34 per 15 min, 33% below the commercial median.

What does Medicare pay for 97530 in Illinois?

$33.52 to $35.97 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97530 in Illinois?

UnitedHealthcare's median is $34.36 per 15 min, from 183 rates and 695 providers.

What does BCBS Illinois pay for 97530 in Illinois?

BCBS Illinois's median is $34.80 per 15 min, from 60 rates and 8690 providers.