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One-on-One Therapeutic Activities, Each 15 Minutes

North Carolina rates for HCPCS 97530

A rehabilitation session in which a therapist works one-on-one with a patient on dynamic, movement-based activities designed to improve day-to-day function. The service is charged in 15-minute units.

Rates data updated July 2026.

How much does One-on-One Therapeutic Activities, Each 15 Minutes cost?

$29.51

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $37.15 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$23.99 to $34.67
FacilityA hospital or hospital-owned outpatient department$37.15$30.90 to $56.23

How much rates vary

Facilitymedian $37 · 10th to 90th $31 to $105Professionalmedian $28 · 10th to 90th $20 to $62
$20.0$100.0$500.0$2.0Kfacility $37professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$120.23
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$64.57
Median
$70.79
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$30.20
Typical High
$61.66
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$28.84
Median
$91.20
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.92
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$186.21
Cigna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$53.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$33.88
Typical High
$57.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$39.81
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$57.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Wellcare
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Wellcare
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$295.12

Where North Carolina sits

The same service costs 2.5 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $29.51 · 37th of 51
AK $60.26KY $24.55

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.