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97154 · District of Columbia · every payer

What every payer pays for 97154 in District of Columbia

Across 3 commercial payers in District of Columbia, the middle payer's median for 97154 (group ABA therapy by a technician) is $8.25 per 15 min. District of Columbia Medicaid's fee-for-service rate, $18.43 per 15 min, is 123% above that commercial median.

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

Commercial median
$8.25per 15 min
District of Columbia Medicaid
$18.43
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Payer mix

97154 in District of Columbia, by payer type

District of Columbia Medicaid$18.43
Commercial (3 payers)$8.25
UnitedHealthcare$8.25
Horizon BCBS NJ$4.22
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97154 rate in District of Columbia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$8.25 per 15 min$33.0037
Horizon BCBS NJCommercial$4.22 per 15 min$16.886
See every payer's 97154 rate in District of Columbia

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 97154 in District of Columbia?

The median of 3 payers' medians is $8.25 per 15 min, from 49 published rates in the October 2026 files.

How does District of Columbia Medicaid compare with commercial insurance for 97154?

District of Columbia Medicaid pays $18.43 per 15 min, 123% above the commercial median.

What does UnitedHealthcare pay for 97154 in District of Columbia?

UnitedHealthcare's median is $8.25 per 15 min, from 37 rates and 57 providers.

What does Horizon BCBS NJ pay for 97154 in District of Columbia?

Horizon BCBS NJ's median is $4.22 per 15 min, from 6 rates and 8 providers.