Cigna ABA reimbursement rates in Pennsylvania
For ABA therapy by a technician (97153), Cigna's median in Pennsylvania is $15.28 per 15 min, or $61.12 an hour, from 136 published rates. That is 20% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $15.28per 15 min
- 97155 median
- $25.75per 15 min
- Files
- October 2026
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Cigna vs Pennsylvania Medicaid and TRICARE
For protocol modification by the analyst (97155), Cigna's median in Pennsylvania is $25.75 per 15 min, or $103.00 an hour, from 135 published rates. That is 17% above Pennsylvania Medicaid ($22.09). Cigna pays 1.69 times as much for analyst time as for technician time in Pennsylvania. Figures come from Cigna's October 2026 price-transparency files. 17 credential or modifier tiers are broken out in the workspace.
| Code | Cigna median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.28per 15 min | $61.12 | $12.73 | — | 136450 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $25.75per 15 min | $103.00 | $22.09 | — | 135450 providers |
Every ABA code Cigna publishes in Pennsylvania
Frequently asked questions
What does Cigna pay for 97153 in Pennsylvania?
The median of Cigna's published Pennsylvania rates for 97153 is $15.28 per 15 min ($61.12 per hour), from 136 rates and 450 providers in the October 2026 files.
What does Cigna pay for 97155 in Pennsylvania?
The median of Cigna's published Pennsylvania rates for 97155 is $25.75 per 15 min ($103.00 per hour), from 135 rates and 450 providers in the October 2026 files.
Does Cigna pay more than Pennsylvania Medicaid for ABA?
For 97153, Cigna's median is 20% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.