Skip to content
97153 · Pennsylvania · every payer

What every payer pays for 97153 in Pennsylvania

9 commercial payers publish Pennsylvania rates for 97153 (one-on-one ABA therapy by a technician), and the median of their medians is $28.77 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $12.73 per 15 min, is 56% below that commercial median.

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

Commercial median
$28.77per 15 min
Pennsylvania Medicaid
$12.73
On this page
Payer mix

97153 in Pennsylvania, by payer type

Pennsylvania Medicaid$12.73
Commercial (9 payers)$28.77
UnitedHealthcare$36.42
Horizon BCBS NJ$29.41
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97153 rate in Pennsylvania

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$36.42 per 15 min$145.68197
Horizon BCBS NJCommercial$29.41 per 15 min$117.6449
See every payer's 97153 rate in Pennsylvania

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

  • Every payer
  • Ranges and n
  • CSV export
FAQ

Frequently asked questions

What do commercial payers pay for 97153 in Pennsylvania?

The median of 9 payers' medians is $28.77 per 15 min, from 348 published rates in the October 2026 files.

How does Pennsylvania Medicaid compare with commercial insurance for 97153?

Pennsylvania Medicaid pays $12.73 per 15 min, 56% below the commercial median.

What does UnitedHealthcare pay for 97153 in Pennsylvania?

UnitedHealthcare's median is $36.42 per 15 min, from 197 rates and 374 providers.

What does Horizon BCBS NJ pay for 97153 in Pennsylvania?

Horizon BCBS NJ's median is $29.41 per 15 min, from 49 rates and 192 providers.