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97530 · New York · every payer

What every payer pays for 97530 in New York

Across 10 commercial payers in New York, the middle payer's median for 97530 (functional activity training) is $36.50 per 15 min. New York Medicaid's fee-for-service rate, $18.05 per 15 min, is 51% below that commercial median.

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

Commercial median
$36.50per 15 min
New York Medicaid
$18.05
Medicare
$33.97+
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Payer mix

97530 in New York, by payer type

Medicare's physician fee schedule pays $33.97–$40.09 in New York across 5 localities.

New York Medicaid$18.05
Medicare$40.09$33.97 low
Commercial (10 payers)$36.50
UnitedHealthcare$38.74
Kaiser Permanente$39.23
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$38.74 per 15 min$154.96301
Kaiser PermanenteCommercial$39.23 per 15 min$156.9255
See every payer's 97530 rate in New York

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 New York?

The median of 10 payers' medians is $36.50 per 15 min, from 531 published rates in the October 2026 files.

How does New York Medicaid compare with commercial insurance for 97530?

New York Medicaid pays $18.05 per 15 min, 51% below the commercial median.

What does Medicare pay for 97530 in New York?

$33.97 to $40.09 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97530 in New York?

UnitedHealthcare's median is $38.74 per 15 min, from 301 rates and 1114 providers.

What does Kaiser Permanente pay for 97530 in New York?

Kaiser Permanente's median is $39.23 per 15 min, from 55 rates and 88 providers.