97530 · Pennsylvania · every payer
What every payer pays for 97530 in Pennsylvania
Across 11 commercial payers in Pennsylvania, the middle payer's median for 97530 (functional activity training) is $35.58 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $13.00 per 15 min, is 64% below that commercial median.
- Commercial median
- $35.58per 15 min
- Pennsylvania Medicaid
- $13.00
- Medicare
- $33.41+
On this page
Payer mix
97530 in Pennsylvania, by payer type
Medicare's physician fee schedule pays $33.41–$36.22 in Pennsylvania across 2 localities.
By payer
Each payer's 97530 rate in Pennsylvania
FAQ
Frequently asked questions
What do commercial payers pay for 97530 in Pennsylvania?
The median of 11 payers' medians is $35.58 per 15 min, from 443 published rates in the October 2026 files.
How does Pennsylvania Medicaid compare with commercial insurance for 97530?
Pennsylvania Medicaid pays $13.00 per 15 min, 64% below the commercial median.
What does Medicare pay for 97530 in Pennsylvania?
$33.41 to $36.22 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97530 in Pennsylvania?
UnitedHealthcare's median is $33.45 per 15 min, from 215 rates and 872 providers.
What does Horizon BCBS NJ pay for 97530 in Pennsylvania?
Horizon BCBS NJ's median is $35.58 per 15 min, from 49 rates and 154 providers.