97112 · Pennsylvania · every payer
What every payer pays for 97112 in Pennsylvania
Across 11 commercial payers in Pennsylvania, the middle payer's median for 97112 (balance and coordination retraining) is $31.43 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $16.75 per 15 min, is 47% below that commercial median.
- Commercial median
- $31.43per 15 min
- Pennsylvania Medicaid
- $16.75
- Medicare
- $31.43+
On this page
Payer mix
97112 in Pennsylvania, by payer type
Medicare's physician fee schedule pays $31.43–$33.74 in Pennsylvania across 2 localities.
By payer
Each payer's 97112 rate in Pennsylvania
FAQ
Frequently asked questions
What do commercial payers pay for 97112 in Pennsylvania?
The median of 11 payers' medians is $31.43 per 15 min, from 441 published rates in the October 2026 files.
How does Pennsylvania Medicaid compare with commercial insurance for 97112?
Pennsylvania Medicaid pays $16.75 per 15 min, 47% below the commercial median.
What does Medicare pay for 97112 in Pennsylvania?
$31.43 to $33.74 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97112 in Pennsylvania?
UnitedHealthcare's median is $31.43 per 15 min, from 213 rates and 872 providers.
What does Horizon BCBS NJ pay for 97112 in Pennsylvania?
Horizon BCBS NJ's median is $31.32 per 15 min, from 51 rates and 154 providers.