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97152 · Delaware · every payer

What every payer pays for 97152 in Delaware

Across 3 commercial payers in Delaware, the middle payer's median for 97152 (behavior assessment help from one technician) is $36.50 per 15 min. Delaware Medicaid's fee-for-service rate, $43.76 per 15 min, is 20% above that commercial median.

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

Commercial median
$36.50per 15 min
Delaware Medicaid
$43.76
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Payer mix

97152 in Delaware, by payer type

Delaware Medicaid$43.76
Commercial (3 payers)$36.50
UnitedHealthcare$36.56
Horizon BCBS NJ$36.50
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in Delaware

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$36.56 per 15 min$146.2433
Horizon BCBS NJCommercial$36.50 per 15 min$146.0021
See every payer's 97152 rate in Delaware

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 97152 in Delaware?

The median of 3 payers' medians is $36.50 per 15 min, from 75 published rates in the October 2026 files.

How does Delaware Medicaid compare with commercial insurance for 97152?

Delaware Medicaid pays $43.76 per 15 min, 20% above the commercial median.

What does UnitedHealthcare pay for 97152 in Delaware?

UnitedHealthcare's median is $36.56 per 15 min, from 33 rates and 56 providers.

What does Horizon BCBS NJ pay for 97152 in Delaware?

Horizon BCBS NJ's median is $36.50 per 15 min, from 21 rates and 44 providers.