CPT 97530

Therapeut Actvity Direct Pt Contact Each 15 Min

CPT 97530 pays $35.07 in a non-facility setting and $35.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $32.08 in Arkansas to $43.57 in Alaska, a 36% spread.

National non-facility rate

$35.07

Office and other outpatient settings

Facility rate
$35.07

Hospital and ASC settings

Highest state
$43.57

Alaska

Lowest state
$32.08

Arkansas · 36% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $35.07
CPT 97530 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $35.07, national facility $35.07.
StateRate compared visuallyNon-facilityFacility
Alaska
$43.57$43.57
District of Columbia
$39.47$39.47
California
$39.12$39.12
New Jersey
$38.38$38.38
Washington
$38.27$38.27
New York
$38.20$38.20
Massachusetts
$37.91$37.91
Hawaii
$37.68$37.68
Connecticut
$36.98$36.98
Colorado
$36.46$36.46
Oregon
$36.17$36.17
Maryland
$36.14$36.14
Rhode Island
$35.98$35.98
New Hampshire
$35.85$35.85
Florida
$35.45$35.45
Minnesota
$35.42$35.42
Puerto Rico
$35.29$35.29
Virgin Islands
$35.29$35.29
Montana
$35.07$35.07
Nevada
$35.04$35.04
Wyoming
$34.98$34.98
Delaware
$34.87$34.87
North Dakota
$34.87$34.87
South Dakota
$34.85$34.85
Pennsylvania
$34.82$34.82
Texas
$34.82$34.82
Illinois
$34.75$34.75
Vermont
$34.71$34.71
Virginia
$34.63$34.63
Arizona
$34.40$34.40
Georgia
$34.24$34.24
Maine
$34.05$34.05
Wisconsin
$34.00$34.00
Michigan
$33.98$33.98
Utah
$33.83$33.83
North Carolina
$33.61$33.61
South Carolina
$33.50$33.50
New Mexico
$33.47$33.47
Indiana
$33.44$33.44
Missouri
$33.42$33.42
Louisiana
$33.34$33.34
Ohio
$33.33$33.33
Nebraska
$33.32$33.32
Idaho
$33.29$33.29
Iowa
$33.17$33.17
Tennessee
$33.09$33.09
Kansas
$32.98$32.98
Oklahoma
$32.85$32.85
Kentucky
$32.82$32.82
West Virginia
$32.59$32.59
Alabama
$32.42$32.42
Mississippi
$32.20$32.20
Arkansas
$32.08$32.08

Billed by 2 specialties

Commercial rates for 97530

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates