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97151 · Pennsylvania · every payer

What every payer pays for 97151 in Pennsylvania

7 commercial payers publish Pennsylvania rates for 97151 (behavior assessment and treatment plan by the analyst), and the median of their medians is $42.68 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $22.09 per 15 min, is 48% below that commercial median.

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

Commercial median
$42.68per 15 min
Pennsylvania Medicaid
$22.09
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Payer mix

97151 in Pennsylvania, by payer type

Pennsylvania Medicaid$22.09
Commercial (7 payers)$42.68
UnitedHealthcare$53.65
Horizon BCBS NJ$42.68
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97151 rate in Pennsylvania

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$53.65 per 15 min$214.60188
Horizon BCBS NJCommercial$42.68 per 15 min$170.7243
See every payer's 97151 rate in Pennsylvania

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 97151 in Pennsylvania?

The median of 7 payers' medians is $42.68 per 15 min, from 332 published rates in the October 2026 files.

How does Pennsylvania Medicaid compare with commercial insurance for 97151?

Pennsylvania Medicaid pays $22.09 per 15 min, 48% below the commercial median.

What does UnitedHealthcare pay for 97151 in Pennsylvania?

UnitedHealthcare's median is $53.65 per 15 min, from 188 rates and 365 providers.

What does Horizon BCBS NJ pay for 97151 in Pennsylvania?

Horizon BCBS NJ's median is $42.68 per 15 min, from 43 rates and 189 providers.