BCBS Tennessee ABA reimbursement rates in Pennsylvania
BCBS Tennessee pays a median of $41.91 per 15 min ($167.64 an hour) for ABA therapy by a technician (97153) in Pennsylvania, across 12 rates and 11 providers. That is 229% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $41.91per 15 min
- 97155 median
- $41.91per 15 min
- Files
- September 2026
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BCBS Tennessee vs Pennsylvania Medicaid and TRICARE
BCBS Tennessee pays a median of $41.91 per 15 min ($167.64 an hour) for protocol modification by the analyst (97155) in Pennsylvania, across 12 rates and 11 providers. That is 90% above Pennsylvania Medicaid ($22.09). BCBS Tennessee pays 1.00 times as much for analyst time as for technician time in Pennsylvania. Figures come from BCBS Tennessee's September 2026 price-transparency files. 1 credential or modifier tier is broken out in the workspace.
| Code | BCBS Tennessee median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $41.91per 15 min | $167.64 | $12.73 | — | 1211 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $41.91per 15 min | $167.64 | $22.09 | — | 1211 providers |
Every ABA code BCBS Tennessee publishes in Pennsylvania
Frequently asked questions
What does BCBS Tennessee pay for 97153 in Pennsylvania?
The median of BCBS Tennessee's published Pennsylvania rates for 97153 is $41.91 per 15 min ($167.64 per hour), from 12 rates and 11 providers in the September 2026 files.
What does BCBS Tennessee pay for 97155 in Pennsylvania?
The median of BCBS Tennessee's published Pennsylvania rates for 97155 is $41.91 per 15 min ($167.64 per hour), from 12 rates and 11 providers in the September 2026 files.
Does BCBS Tennessee pay more than Pennsylvania Medicaid for ABA?
For 97153, BCBS Tennessee's median is 229% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.