BCBS Michigan ABA reimbursement rates in Pennsylvania
BCBS Michigan pays a median of $22.20 per 15 min ($88.80 an hour) for ABA therapy by a technician (97153) in Pennsylvania, across 5 rates and 35 providers. That is 74% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $22.20per 15 min
- 97155 median
- $31.14per 15 min
- Files
- October 2026
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BCBS Michigan vs Pennsylvania Medicaid and TRICARE
BCBS Michigan pays a median of $31.14 per 15 min ($124.56 an hour) for protocol modification by the analyst (97155) in Pennsylvania, across 7 rates and 35 providers. That is 41% above Pennsylvania Medicaid ($22.09). BCBS Michigan pays 1.40 times as much for analyst time as for technician time in Pennsylvania. Figures come from BCBS Michigan's October 2026 price-transparency files. 2 credential or modifier tiers are broken out in the workspace.
| Code | BCBS Michigan median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $22.20per 15 min | $88.80 | $12.73 | — | 535 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $31.14per 15 min | $124.56 | $22.09 | — | 735 providers |
Every ABA code BCBS Michigan publishes in Pennsylvania
Frequently asked questions
What does BCBS Michigan pay for 97153 in Pennsylvania?
The median of BCBS Michigan's published Pennsylvania rates for 97153 is $22.20 per 15 min ($88.80 per hour), from 5 rates and 35 providers in the October 2026 files.
What does BCBS Michigan pay for 97155 in Pennsylvania?
The median of BCBS Michigan's published Pennsylvania rates for 97155 is $31.14 per 15 min ($124.56 per hour), from 7 rates and 35 providers in the October 2026 files.
Does BCBS Michigan pay more than Pennsylvania Medicaid for ABA?
For 97153, BCBS Michigan's median is 74% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.