Skip to content
MedicaidRate
Start free trial
Sign inStart free trial
97152 · New York · every payer

What every payer pays for 97152 in New York

Across 8 commercial payers in New York, the middle payer's median for 97152 (behavior assessment help from one technician) is $34.47 per 15 min. New York Medicaid's fee-for-service rate, $19.26 per 15 min, is 44% below that commercial median.

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

Open the payer mixNew York Medicaid rates
Commercial median
$34.47per 15 min
New York Medicaid
$19.26
On this page
Payer mix

97152 in New York, by payer type

New York Medicaid$19.26
Commercial (8 payers)$34.47
UnitedHealthcare$52.54
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 York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$52.54 per 15 min$210.16243
Horizon BCBS NJCommercial$36.50 per 15 min$146.0058
See every payer's 97152 rate in New York

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

  • Every payer
  • Ranges and n
  • CSV export
Start free trial
FAQ

Frequently asked questions

What do commercial payers pay for 97152 in New York?

The median of 8 payers' medians is $34.47 per 15 min, from 395 published rates in the October 2026 files.

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

New York Medicaid pays $19.26 per 15 min, 44% below the commercial median.

What does UnitedHealthcare pay for 97152 in New York?

UnitedHealthcare's median is $52.54 per 15 min, from 243 rates and 554 providers.

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

Horizon BCBS NJ's median is $36.50 per 15 min, from 58 rates and 264 providers.

Keep exploring

Related

97152 in other states

Payers in New York

More