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97112 · Massachusetts · every payer

What every payer pays for 97112 in Massachusetts

9 commercial payers publish Massachusetts rates for 97112 (balance and coordination retraining), and the median of their medians is $31.91 per 15 min. Massachusetts Medicaid's fee-for-service rate, $25.83 per 15 min, is 19% below that commercial median.

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

Commercial median
$31.91per 15 min
Massachusetts Medicaid
$25.83
Medicare
$33.76+
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Payer mix

97112 in Massachusetts, by payer type

Medicare's physician fee schedule pays $33.76–$36.43 in Massachusetts across 2 localities.

Massachusetts Medicaid$25.83
Medicare$36.43$33.76 low
Commercial (9 payers)$31.91
UnitedHealthcare$38.66
BCBS Massachusetts$33.01
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97112 rate in Massachusetts

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$38.66 per 15 min$154.64114
BCBS MassachusettsCommercial$33.01 per 15 min$132.0438
See every payer's 97112 rate in Massachusetts

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 Massachusetts?

The median of 9 payers' medians is $31.91 per 15 min, from 256 published rates in the October 2026 files.

How does Massachusetts Medicaid compare with commercial insurance for 97112?

Massachusetts Medicaid pays $25.83 per 15 min, 19% below the commercial median.

What does Medicare pay for 97112 in Massachusetts?

$33.76 to $36.43 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97112 in Massachusetts?

UnitedHealthcare's median is $38.66 per 15 min, from 114 rates and 401 providers.

What does BCBS Massachusetts pay for 97112 in Massachusetts?

BCBS Massachusetts's median is $33.01 per 15 min, from 38 rates and 3150 providers.