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97152 · Montana · every payer

What every payer pays for 97152 in Montana

Across 4 commercial payers in Montana, the middle payer's median for 97152 (behavior assessment help from one technician) is $46.69 per 15 min. Montana Medicaid's fee-for-service rate, $11.36 per 15 min, is 76% below that commercial median.

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

Open the payer mixMontana Medicaid rates
Commercial median
$46.69per 15 min
Montana Medicaid
$11.36
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Payer mix

97152 in Montana, by payer type

Montana Medicaid$11.36
Commercial (4 payers)$46.69
UnitedHealthcare$69.44
Horizon BCBS NJ$46.69
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in Montana

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$69.44 per 15 min$277.7625
Horizon BCBS NJCommercial$46.69 per 15 min$186.7611
See every payer's 97152 rate in Montana

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 Montana?

The median of 4 payers' medians is $46.69 per 15 min, from 54 published rates in the October 2026 files.

How does Montana Medicaid compare with commercial insurance for 97152?

Montana Medicaid pays $11.36 per 15 min, 76% below the commercial median.

What does UnitedHealthcare pay for 97152 in Montana?

UnitedHealthcare's median is $69.44 per 15 min, from 25 rates and 37 providers.

What does Horizon BCBS NJ pay for 97152 in Montana?

Horizon BCBS NJ's median is $46.69 per 15 min, from 11 rates and 8 providers.

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