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97112 · Virginia · every payer

What every payer pays for 97112 in Virginia

Across 9 commercial payers in Virginia, the middle payer's median for 97112 (balance and coordination retraining) is $31.19 per 15 min. Virginia Medicaid's fee-for-service rate, $18.31 per 15 min, is 41% below that commercial median.

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

Commercial median
$31.19per 15 min
Virginia Medicaid
$18.31
Medicare
$32.37
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Payer mix

97112 in Virginia, by payer type

Medicare's physician fee schedule pays $32.37 in Virginia.

Virginia Medicaid$18.31
Medicare$32.37
Commercial (9 payers)$31.19
UnitedHealthcare$30.75
Kaiser Permanente$36.16
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97112 rate in Virginia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$30.75 per 15 min$123.00195
Kaiser PermanenteCommercial$36.16 per 15 min$144.6438
See every payer's 97112 rate in Virginia

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 Virginia?

The median of 9 payers' medians is $31.19 per 15 min, from 320 published rates in the October 2026 files.

How does Virginia Medicaid compare with commercial insurance for 97112?

Virginia Medicaid pays $18.31 per 15 min, 41% below the commercial median.

What does Medicare pay for 97112 in Virginia?

$32.37 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97112 in Virginia?

UnitedHealthcare's median is $30.75 per 15 min, from 195 rates and 684 providers.

What does Kaiser Permanente pay for 97112 in Virginia?

Kaiser Permanente's median is $36.16 per 15 min, from 38 rates and 54 providers.