97152 · Pennsylvania · every payer
What every payer pays for 97152 in Pennsylvania
Across 5 commercial payers in Pennsylvania, the middle payer's median for 97152 (behavior assessment help from one technician) is $36.50 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $15.76 per 15 min, is 57% below that commercial median.
- Commercial median
- $36.50per 15 min
- Pennsylvania Medicaid
- $15.76
On this page
Payer mix
97152 in Pennsylvania, by payer type
By payer
Each payer's 97152 rate in Pennsylvania
FAQ
Frequently asked questions
What do commercial payers pay for 97152 in Pennsylvania?
The median of 5 payers' medians is $36.50 per 15 min, from 302 published rates in the October 2026 files.
How does Pennsylvania Medicaid compare with commercial insurance for 97152?
Pennsylvania Medicaid pays $15.76 per 15 min, 57% below the commercial median.
What does UnitedHealthcare pay for 97152 in Pennsylvania?
UnitedHealthcare's median is $45.02 per 15 min, from 192 rates and 371 providers.
What does Horizon BCBS NJ pay for 97152 in Pennsylvania?
Horizon BCBS NJ's median is $36.50 per 15 min, from 42 rates and 191 providers.