go back

One-on-One Therapeutic Activities, Each 15 Minutes

West Virginia 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?

$40.74

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 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 5 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$40.74$29.51 to $72.44
FacilityA hospital or hospital-owned outpatient department$37.15$33.88 to $43.65

How much rates vary

Facilitymedian $37 · 10th to 90th $34 to $98Professionalmedian $41 · 10th to 90th $23 to $74
$20.0$50.0$100.0facility $37professional $41

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
$33.88
Median
$37.15
Typical High
$97.72
Aetna
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$89.13
Median
$141.25
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$40.74
Typical High
$74.13
Aetna
Setting
Professional
Modifier
CQ · PT assistant
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
CareSource
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$42.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$100.00
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
$26.30
Median
$44.67
Typical High
$169.82
Highmark BCBS
Setting
Facility
Modifier
CO · OT assistant
Typical Low
$112.20
Median
$112.20
Typical High
$147.91
Highmark BCBS
Setting
Facility
Modifier
CQ · PT assistant
Typical Low
$83.18
Median
$112.20
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$39.81
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$58.88

Where West Virginia 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.

West Virginia $40.74 · 7th 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.