Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
59 - OT Therapeutic Activity Modifier
Mobile, AL
See all hospitals reporting CPT 97530 →Price type
USA Health University Hospital’s median price of $47 is 36% below the median hospital's median price ($74), higher than 29% of the 2,559 hospitals reporting CPT 97530. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $29.51 | $29.51 | $29.51 – $29.51 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $32.46 | $32.46 | $32.46 – $32.46 |
| 3 | Bcbs Al medicare advantage facility · case rate · outpatient | $34.37 | $34.37 | $34.37 – $34.37 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 5 | Cigna Healthspring medicare advantage facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 6 | Devoted medicare advantage facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 7 | Humana medicare advantage/hmo facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 8 | Humana medicare advantage/ppo facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 9 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 10 | UnitedHealthcare vaccn facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 11 | WellCare medicare advantage facility · case rate · outpatient | $35.07 | $35.07 | $35.07 – $35.07 |
| 12 | Molina medicare advantage facility · case rate · outpatient | $38.58 | $38.58 | $38.58 – $38.58 |
| 13 | Ambetter commercial/exchange facility · case rate · outpatient | $42.09 | $42.09 | $42.09 – $42.09 |
| 14 | Bcbs Al commercial facility · other · outpatient | $50.49 | $50.49 | $50.49 – $50.49 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $65.93 | $65.93 | $61.88 – $69.97 |
| 16 | UnitedHealthcare all payor/commercial facility · percent of total billed charges · outpatientfrom % of charges | $84.24 | $82.35 | $70.20 – $84.24 |
| 17 | UnitedHealthcare ppo/commercial facility · percent of total billed charges · outpatientfrom % of charges | $84.24 | $82.35 | $70.20 – $84.24 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $85.80 | $83.88 | $71.50 – $85.80 |
| 19 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $101.40 | $99.13 | $84.50 – $101.40 |
| 20 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $101.40 | $99.13 | $84.50 – $101.40 |
| 21 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $109.20 | $106.75 | $91.00 – $109.20 |
| 22 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $140.40 | $137.25 | $117.00 – $140.40 |
| 23 | Cigna commercial facility · case rate · outpatient | $150.00 | $150.00 | $150.00 – $150.00 |
Last updated: Apr 30, 2026
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