97530 · North Carolina · every payer
What every payer pays for 97530 in North Carolina
Across 11 commercial payers in North Carolina, the middle payer's median for 97530 (functional activity training) is $34.24 per 15 min. North Carolina Medicaid's fee-for-service rate, $24.10 per 15 min, is 30% below that commercial median.
- Commercial median
- $34.24per 15 min
- North Carolina Medicaid
- $24.10
- Medicare
- $33.61
On this page
Payer mix
97530 in North Carolina, by payer type
Medicare's physician fee schedule pays $33.61 in North Carolina.
By payer
Each payer's 97530 rate in North Carolina
FAQ
Frequently asked questions
What do commercial payers pay for 97530 in North Carolina?
The median of 11 payers' medians is $34.24 per 15 min, from 369 published rates in the October 2026 files.
How does North Carolina Medicaid compare with commercial insurance for 97530?
North Carolina Medicaid pays $24.10 per 15 min, 30% below the commercial median.
What does Medicare pay for 97530 in North Carolina?
$33.61 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97530 in North Carolina?
UnitedHealthcare's median is $33.68 per 15 min, from 150 rates and 513 providers.
What does Aetna pay for 97530 in North Carolina?
Aetna's median is $30.89 per 15 min, from 103 rates and 1247 providers.