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97530 · Maine · every payer

What every payer pays for 97530 in Maine

3 commercial payers publish Maine rates for 97530 (functional activity training), and the median of their medians is $40.91 per 15 min. Maine Medicaid's fee-for-service rate, $24.14 per 15 min, is 41% below that commercial median.

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

Commercial median
$40.91per 15 min
Maine Medicaid
$24.14
Medicare
$33.34+
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Payer mix

97530 in Maine, by payer type

Medicare's physician fee schedule pays $33.34–$34.77 in Maine across 2 localities.

Maine Medicaid$24.14
Medicare$34.77$33.34 low
Commercial (3 payers)$40.91
UnitedHealthcare$43.42
BCBS Texas$29.07
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in Maine

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$43.42 per 15 min$173.6836
BCBS TexasCommercial$29.07 per 15 min$116.288
See every payer's 97530 rate in Maine

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 Maine?

The median of 3 payers' medians is $40.91 per 15 min, from 49 published rates in the October 2026 files.

How does Maine Medicaid compare with commercial insurance for 97530?

Maine Medicaid pays $24.14 per 15 min, 41% below the commercial median.

What does Medicare pay for 97530 in Maine?

$33.34 to $34.77 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97530 in Maine?

UnitedHealthcare's median is $43.42 per 15 min, from 36 rates and 78 providers.

What does BCBS Texas pay for 97530 in Maine?

BCBS Texas's median is $29.07 per 15 min, from 8 rates and 14 providers.