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97152 · New Jersey · every payer

What every payer pays for 97152 in New Jersey

4 commercial payers publish New Jersey rates for 97152 (behavior assessment help from one technician), and the median of their medians is $36.50 per 15 min. New Jersey Medicaid's fee-for-service rate, $11.20 per 15 min, is 69% below that commercial median.

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

Commercial median
$36.50per 15 min
New Jersey Medicaid
$11.20
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Payer mix

97152 in New Jersey, by payer type

New Jersey Medicaid$11.20
Commercial (4 payers)$36.50
UnitedHealthcare$37.09
Horizon BCBS NJ$36.50
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in New Jersey

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$37.09 per 15 min$148.36132
Horizon BCBS NJCommercial$36.50 per 15 min$146.00107
See every payer's 97152 rate in New Jersey

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 New Jersey?

The median of 4 payers' medians is $36.50 per 15 min, from 342 published rates in the October 2026 files.

How does New Jersey Medicaid compare with commercial insurance for 97152?

New Jersey Medicaid pays $11.20 per 15 min, 69% below the commercial median.

What does UnitedHealthcare pay for 97152 in New Jersey?

UnitedHealthcare's median is $37.09 per 15 min, from 132 rates and 291 providers.

What does Horizon BCBS NJ pay for 97152 in New Jersey?

Horizon BCBS NJ's median is $36.50 per 15 min, from 107 rates and 1055 providers.