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97152 · Illinois · every payer

What every payer pays for 97152 in Illinois

Across 7 commercial payers in Illinois, the middle payer's median for 97152 (behavior assessment help from one technician) is $23.40 per 15 min. Illinois Medicaid pays $13.00 per 1/4 hr, in a different unit.

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

Open the payer mixIllinois Medicaid rates
Commercial median
$23.40per 15 min
Illinois Medicaid
$13.00
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Payer mix

97152 in Illinois, by payer type

Commercial (7 payers)$23.40
UnitedHealthcare$54.62
BCBS Illinois$17.59
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in Illinois

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$54.62 per 15 min$218.48225
BCBS IllinoisCommercial$17.59 per 15 min$70.3631
See every payer's 97152 rate in Illinois

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 Illinois?

The median of 7 payers' medians is $23.40 per 15 min, from 349 published rates in the October 2026 files.

What does UnitedHealthcare pay for 97152 in Illinois?

UnitedHealthcare's median is $54.62 per 15 min, from 225 rates and 329 providers.

What does BCBS Illinois pay for 97152 in Illinois?

BCBS Illinois's median is $17.59 per 15 min, from 31 rates and 3981 providers.

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