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97112 · New York · every payer

What every payer pays for 97112 in New York

Across 9 commercial payers in New York, the middle payer's median for 97112 (balance and coordination retraining) is $33.19 per 15 min. New York Medicaid publishes no fee-for-service rate for 97112.

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

Commercial median
$33.19per 15 min
New York Medicaid
—
Medicare
$31.85+
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Payer mix

97112 in New York, by payer type

Medicare's physician fee schedule pays $31.85–$37.05 in New York across 5 localities.

Medicare$37.05$31.85 low
Commercial (9 payers)$33.19
UnitedHealthcare$35.02
Kaiser Permanente$36.18
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97112 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$35.02 per 15 min$140.08303
Kaiser PermanenteCommercial$36.18 per 15 min$144.7251
See every payer's 97112 rate in New York

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 York?

The median of 9 payers' medians is $33.19 per 15 min, from 525 published rates in the October 2026 files.

What does Medicare pay for 97112 in New York?

$31.85 to $37.05 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97112 in New York?

UnitedHealthcare's median is $35.02 per 15 min, from 303 rates and 1114 providers.

What does Kaiser Permanente pay for 97112 in New York?

Kaiser Permanente's median is $36.18 per 15 min, from 51 rates and 89 providers.