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97151 · New York · every payer

What every payer pays for 97151 in New York

8 commercial payers publish New York rates for 97151 (behavior assessment and treatment plan by the analyst), and the median of their medians is $38.59 per 15 min. New York Medicaid's fee-for-service rate, $19.26 per 15 min, is 50% below that commercial median.

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

Commercial median
$38.59per 15 min
New York Medicaid
$19.26
TRICARE
$38.55
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Payer mix

97151 in New York, by payer type

TRICARE pays $38.55 per 15 min.

New York Medicaid$19.26
Commercial (8 payers)$38.59
TRICARE$38.55
UnitedHealthcare$58.41
Horizon BCBS NJ$42.68
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97151 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$58.41 per 15 min$233.64235
Horizon BCBS NJCommercial$42.68 per 15 min$170.7256
See every payer's 97151 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 97151 in New York?

The median of 8 payers' medians is $38.59 per 15 min, from 440 published rates in the October 2026 files.

How does New York Medicaid compare with commercial insurance for 97151?

New York Medicaid pays $19.26 per 15 min, 50% below the commercial median.

What does UnitedHealthcare pay for 97151 in New York?

UnitedHealthcare's median is $58.41 per 15 min, from 235 rates and 538 providers.

What does Horizon BCBS NJ pay for 97151 in New York?

Horizon BCBS NJ's median is $42.68 per 15 min, from 56 rates and 256 providers.