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97530 · Texas · every payer

What every payer pays for 97530 in Texas

13 commercial payers publish Texas rates for 97530 (functional activity training), and the median of their medians is $35.34 per 15 min. Texas Medicaid's fee-for-service rate, $33.75 per 15 min, is 4.5% below that commercial median.

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

Commercial median
$35.34per 15 min
Texas Medicaid
$33.75
Medicare
$33.24+
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Payer mix

97530 in Texas, by payer type

Medicare's physician fee schedule pays $33.24–$36.22 in Texas across 8 localities.

Texas Medicaid$33.75
Medicare$36.22$33.24 low
Commercial (13 payers)$35.34
BCBS Texas$29.07
UnitedHealthcare$33.43
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in Texas

PayerMedianPer hourRates (n)
BCBS TexasCommercial$29.07 per 15 min$116.28228
UnitedHealthcareCommercial$33.43 per 15 min$133.72228
See every payer's 97530 rate in Texas

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 Texas?

The median of 13 payers' medians is $35.34 per 15 min, from 696 published rates in the October 2026 files.

How does Texas Medicaid compare with commercial insurance for 97530?

Texas Medicaid pays $33.75 per 15 min, 4.5% below the commercial median.

What does Medicare pay for 97530 in Texas?

$33.24 to $36.22 on the RVU26B physician fee schedule (non-facility).

What does BCBS Texas pay for 97530 in Texas?

BCBS Texas's median is $29.07 per 15 min, from 228 rates and 10895 providers.

What does UnitedHealthcare pay for 97530 in Texas?

UnitedHealthcare's median is $33.43 per 15 min, from 228 rates and 2192 providers.