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New York rates for HCPCS 97530

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

Facilitymedian $129 · 10th–90th $17$3890%10%10th90th$129Professionalmedian $44 · 10th–90th $22$1290%10%10th90th$44$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$16.98 / $125.89 / $389.05
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$5.13 / $346.74 / $724.44
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$8.13 / $323.59 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $38.90 / $138.04
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$54.95 / $104.71 / $457.09
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$32.36 / $58.88 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$26.92 / $26.92 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $58.88 / $75.86
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $186.21 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $41.69 / $117.49
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $134.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $77.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $41.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.88 / $67.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $83.18
Highmark BCBS
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$28.84 / $33.88 / $39.81
Highmark BCBS
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$6.76 / $30.90 / $30.90
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $43.65 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $93.33
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $23.44 / $91.20
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $38.02 / $77.62