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97152 · Oregon · every payer

What every payer pays for 97152 in Oregon

Across 5 commercial payers in Oregon, the middle payer's median for 97152 (behavior assessment help from one technician) is $47.10 per 15 min. Oregon Medicaid's fee-for-service rate, $19.81 per 15 min, is 58% below that commercial median.

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

Commercial median
$47.10per 15 min
Oregon Medicaid
$19.81
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Payer mix

97152 in Oregon, by payer type

Oregon Medicaid$19.81
Commercial (5 payers)$47.10
UnitedHealthcare$84.45
Horizon BCBS NJ$50.02
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in Oregon

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$84.45 per 15 min$337.8084
Horizon BCBS NJCommercial$50.02 per 15 min$200.0816
See every payer's 97152 rate in Oregon

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 Oregon?

The median of 5 payers' medians is $47.10 per 15 min, from 143 published rates in the October 2026 files.

How does Oregon Medicaid compare with commercial insurance for 97152?

Oregon Medicaid pays $19.81 per 15 min, 58% below the commercial median.

What does UnitedHealthcare pay for 97152 in Oregon?

UnitedHealthcare's median is $84.45 per 15 min, from 84 rates and 131 providers.

What does Horizon BCBS NJ pay for 97152 in Oregon?

Horizon BCBS NJ's median is $50.02 per 15 min, from 16 rates and 16 providers.