What every payer pays for 97530 in Massachusetts
9 commercial payers publish Massachusetts rates for 97530 (functional activity training), and the median of their medians is $35.58 per 15 min. Massachusetts Medicaid's fee-for-service rate, $28.65 per 15 min, is 20% below that commercial median.
- Commercial median
- $35.58per 15 min
- Massachusetts Medicaid
- $28.65
- Medicare
- $36.30+
On this page
97530 in Massachusetts, by payer type
Medicare's physician fee schedule pays $36.30–$39.52 in Massachusetts across 2 localities.
Each payer's 97530 rate in Massachusetts
Frequently asked questions
What do commercial payers pay for 97530 in Massachusetts?
The median of 9 payers' medians is $35.58 per 15 min, from 267 published rates in the October 2026 files.
How does Massachusetts Medicaid compare with commercial insurance for 97530?
Massachusetts Medicaid pays $28.65 per 15 min, 20% below the commercial median.
What does Medicare pay for 97530 in Massachusetts?
$36.30 to $39.52 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97530 in Massachusetts?
UnitedHealthcare's median is $42.28 per 15 min, from 118 rates and 401 providers.
What does BCBS Massachusetts pay for 97530 in Massachusetts?
BCBS Massachusetts's median is $39.01 per 15 min, from 40 rates and 1496 providers.