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97530 · Wisconsin · every payer

What every payer pays for 97530 in Wisconsin

8 commercial payers publish Wisconsin rates for 97530 (functional activity training), and the median of their medians is $35.41 per 15 min. Wisconsin Medicaid's fee-for-service rate, $21.64 per 15 min, is 39% below that commercial median.

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

Commercial median
$35.41per 15 min
Wisconsin Medicaid
$21.64
Medicare
$34.00
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Payer mix

97530 in Wisconsin, by payer type

Medicare's physician fee schedule pays $34.00 in Wisconsin.

Wisconsin Medicaid$21.64
Medicare$34.00
Commercial (8 payers)$35.41
UnitedHealthcare$38.72
Kaiser Permanente$36.46
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97530 rate in Wisconsin

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$38.72 per 15 min$154.8899
Kaiser PermanenteCommercial$36.46 per 15 min$145.8421
See every payer's 97530 rate in Wisconsin

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 Wisconsin?

The median of 8 payers' medians is $35.41 per 15 min, from 191 published rates in the October 2026 files.

How does Wisconsin Medicaid compare with commercial insurance for 97530?

Wisconsin Medicaid pays $21.64 per 15 min, 39% below the commercial median.

What does Medicare pay for 97530 in Wisconsin?

$34.00 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97530 in Wisconsin?

UnitedHealthcare's median is $38.72 per 15 min, from 99 rates and 264 providers.

What does Kaiser Permanente pay for 97530 in Wisconsin?

Kaiser Permanente's median is $36.46 per 15 min, from 21 rates and 26 providers.