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97112 · Illinois · every payer

What every payer pays for 97112 in Illinois

Across 12 commercial payers in Illinois, the middle payer's median for 97112 (balance and coordination retraining) is $32.51 per 15 min. Illinois Medicaid's fee-for-service rate, $21.63 per 15 min, is 34% below that commercial median.

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

Commercial median
$32.51per 15 min
Illinois Medicaid
$21.63
Medicare
$31.56+
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Payer mix

97112 in Illinois, by payer type

Medicare's physician fee schedule pays $31.56–$33.53 in Illinois across 4 localities.

Illinois Medicaid$21.63
Medicare$33.53$31.56 low
Commercial (12 payers)$32.51
UnitedHealthcare$30.68
BCBS Illinois$32.51
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97112 rate in Illinois

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$30.68 per 15 min$122.72183
BCBS IllinoisCommercial$32.51 per 15 min$130.0466
See every payer's 97112 rate in Illinois

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 Illinois?

The median of 12 payers' medians is $32.51 per 15 min, from 417 published rates in the October 2026 files.

How does Illinois Medicaid compare with commercial insurance for 97112?

Illinois Medicaid pays $21.63 per 15 min, 34% below the commercial median.

What does Medicare pay for 97112 in Illinois?

$31.56 to $33.53 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97112 in Illinois?

UnitedHealthcare's median is $30.68 per 15 min, from 183 rates and 695 providers.

What does BCBS Illinois pay for 97112 in Illinois?

BCBS Illinois's median is $32.51 per 15 min, from 66 rates and 8731 providers.