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Georgia rates for HCPCS 97530

Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes

Facilitymedian $145 · 10th–90th $28$4270%5%10%10th90th$145Professionalmedian $40 · 10th–90th $24$1120%10%20%10th90th$40$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $165.96 / $436.52
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$70.79 / $120.23 / $257.04
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$42.66 / $109.65 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $37.15 / $114.82
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$26.92 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$30.90 / $52.48 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$20.89 / $34.67 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $57.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.02 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $37.15 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $40.74 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $53.70