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97152 · North Carolina · every payer

What every payer pays for 97152 in North Carolina

Across 7 commercial payers in North Carolina, the middle payer's median for 97152 (behavior assessment help from one technician) is $22.00 per 15 min. North Carolina Medicaid's fee-for-service rate, $61.73 per 15 min, is 181% above that commercial median.

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

Commercial median
$22.00per 15 min
North Carolina Medicaid
$61.73
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Payer mix

97152 in North Carolina, by payer type

North Carolina Medicaid$61.73
Commercial (7 payers)$22.00
UnitedHealthcare$52.76
Aetna$15.55
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in North Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$52.76 per 15 min$211.04165
AetnaCommercial$15.55 per 15 min$62.2044
See every payer's 97152 rate in North Carolina

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 North Carolina?

The median of 7 payers' medians is $22.00 per 15 min, from 266 published rates in the October 2026 files.

How does North Carolina Medicaid compare with commercial insurance for 97152?

North Carolina Medicaid pays $61.73 per 15 min, 181% above the commercial median.

What does UnitedHealthcare pay for 97152 in North Carolina?

UnitedHealthcare's median is $52.76 per 15 min, from 165 rates and 265 providers.

What does Aetna pay for 97152 in North Carolina?

Aetna's median is $15.55 per 15 min, from 44 rates and 2238 providers.