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97152 · Indiana · every payer

What every payer pays for 97152 in Indiana

Across 7 commercial payers in Indiana, the middle payer's median for 97152 (behavior assessment help from one technician) is $30.75 per 15 min. Indiana Medicaid's fee-for-service rate, $16.04 per 15 min, is 48% below that commercial median.

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

Commercial median
$30.75per 15 min
Indiana Medicaid
$16.04
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Payer mix

97152 in Indiana, by payer type

Indiana Medicaid$16.04
Commercial (7 payers)$30.75
UnitedHealthcare$52.30
Horizon BCBS NJ$36.50
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in Indiana

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$52.30 per 15 min$209.20134
Horizon BCBS NJCommercial$36.50 per 15 min$146.0018
See every payer's 97152 rate in Indiana

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 Indiana?

The median of 7 payers' medians is $30.75 per 15 min, from 205 published rates in the October 2026 files.

How does Indiana Medicaid compare with commercial insurance for 97152?

Indiana Medicaid pays $16.04 per 15 min, 48% below the commercial median.

What does UnitedHealthcare pay for 97152 in Indiana?

UnitedHealthcare's median is $52.30 per 15 min, from 134 rates and 169 providers.

What does Horizon BCBS NJ pay for 97152 in Indiana?

Horizon BCBS NJ's median is $36.50 per 15 min, from 18 rates and 27 providers.