UnitedHealthcare ABA reimbursement rates in Pennsylvania
For ABA therapy by a technician (97153), UnitedHealthcare's median in Pennsylvania is $36.42 per 15 min, or $145.68 an hour, from 197 published rates. That is 186% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $36.42per 15 min
- 97155 median
- $36.21per 15 min
- Files
- October 2026
On this page
UnitedHealthcare vs Pennsylvania Medicaid and TRICARE
For protocol modification by the analyst (97155), UnitedHealthcare's median in Pennsylvania is $36.21 per 15 min, or $144.84 an hour, from 198 published rates. That is 64% above Pennsylvania Medicaid ($22.09). UnitedHealthcare pays 0.99 times as much for analyst time as for technician time in Pennsylvania. Figures come from UnitedHealthcare's October 2026 price-transparency files.
| Code | UnitedHealthcare median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $36.42per 15 min | $145.68 | $12.73 | — | 197374 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $36.21per 15 min | $144.84 | $22.09 | — | 198374 providers |
Every ABA code UnitedHealthcare publishes in Pennsylvania
Frequently asked questions
What does UnitedHealthcare pay for 97153 in Pennsylvania?
The median of UnitedHealthcare's published Pennsylvania rates for 97153 is $36.42 per 15 min ($145.68 per hour), from 197 rates and 374 providers in the October 2026 files.
What does UnitedHealthcare pay for 97155 in Pennsylvania?
The median of UnitedHealthcare's published Pennsylvania rates for 97155 is $36.21 per 15 min ($144.84 per hour), from 198 rates and 374 providers in the October 2026 files.
Does UnitedHealthcare pay more than Pennsylvania Medicaid for ABA?
For 97153, UnitedHealthcare's median is 186% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.