go back

Michigan rates for HCPCS 97530

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

Facilitymedian $117 · 10th–90th $30$3720%5%10%10th90th$117Professionalmedian $35 · 10th–90th $21$1050%10%10th90th$35$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$27.54 / $125.89 / $323.59
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$45.71 / $69.18 / $2,041.74
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$64.57 / $107.15 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $100.00
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$54.95 / $54.95 / $104.71
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$30.90 / $46.77 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$26.92 / $26.92 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $36.31 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $39.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $41.69 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $120.23 / $281.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$45.71 / $67.61 / $2,041.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$64.57 / $107.15 / $467.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $72.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$31.62 / $31.62 / $54.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$30.90 / $46.77 / $151.36
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $70.79