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97112 · Delaware · every payer

What every payer pays for 97112 in Delaware

Across 3 commercial payers in Delaware, the middle payer's median for 97112 (balance and coordination retraining) is $30.29 per 15 min. Delaware Medicaid's fee-for-service rate, $29.15 per 15 min, is 3.8% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$30.29per 15 min
Delaware Medicaid
$29.15
Medicare
$32.59
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Payer mix

97112 in Delaware, by payer type

Medicare's physician fee schedule pays $32.59 in Delaware.

Delaware Medicaid$29.15
Medicare$32.59
Commercial (3 payers)$30.29
UnitedHealthcare$29.26
Horizon BCBS NJ$31.32
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97112 rate in Delaware

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$29.26 per 15 min$117.0463
Horizon BCBS NJCommercial$31.32 per 15 min$125.2810
See every payer's 97112 rate in Delaware

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97112 in Delaware?

The median of 3 payers' medians is $30.29 per 15 min, from 84 published rates in the October 2026 files.

How does Delaware Medicaid compare with commercial insurance for 97112?

Delaware Medicaid pays $29.15 per 15 min, 3.8% below the commercial median.

What does Medicare pay for 97112 in Delaware?

$32.59 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97112 in Delaware?

UnitedHealthcare's median is $29.26 per 15 min, from 63 rates and 109 providers.

What does Horizon BCBS NJ pay for 97112 in Delaware?

Horizon BCBS NJ's median is $31.32 per 15 min, from 10 rates and 14 providers.