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97112 · New Jersey · every payer

What every payer pays for 97112 in New Jersey

8 commercial payers publish New Jersey rates for 97112 (balance and coordination retraining), and the median of their medians is $32.81 per 15 min. New Jersey Medicaid's fee-for-service rate, $16.57 per 15 min, is 50% below that commercial median.

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

Commercial median
$32.81per 15 min
New Jersey Medicaid
$16.57
Medicare
$34.88+
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Payer mix

97112 in New Jersey, by payer type

Medicare's physician fee schedule pays $34.88–$36.32 in New Jersey across 2 localities.

New Jersey Medicaid$16.57
Medicare$36.32$34.88 low
Commercial (8 payers)$32.81
Horizon BCBS NJ$31.32
UnitedHealthcare$23.95
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97112 rate in New Jersey

PayerMedianPer hourRates (n)
Horizon BCBS NJCommercial$31.32 per 15 min$125.28171
UnitedHealthcareCommercial$23.95 per 15 min$95.80170
See every payer's 97112 rate in New Jersey

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 New Jersey?

The median of 8 payers' medians is $32.81 per 15 min, from 557 published rates in the October 2026 files.

How does New Jersey Medicaid compare with commercial insurance for 97112?

New Jersey Medicaid pays $16.57 per 15 min, 50% below the commercial median.

What does Medicare pay for 97112 in New Jersey?

$34.88 to $36.32 on the RVU26B physician fee schedule (non-facility).

What does Horizon BCBS NJ pay for 97112 in New Jersey?

Horizon BCBS NJ's median is $31.32 per 15 min, from 171 rates and 3250 providers.

What does UnitedHealthcare pay for 97112 in New Jersey?

UnitedHealthcare's median is $23.95 per 15 min, from 170 rates and 648 providers.