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Illinois rates for HCPCS 97530

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

Facilitymedian $115 · 10th–90th $44$3630%10%10th90th$115Professionalmedian $39 · 10th–90th $23$1150%5%10%10th90th$39$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$34.67 / $97.72 / $363.08
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$97.72 / $263.03 / $436.52
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$81.28 / $128.82 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $114.82
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$20.42 / $54.95 / $125.89
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$30.90 / $60.26 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $83.18 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $64.57 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $45.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $38.90 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $36.31 / $67.61
United
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81